Which is the best surgical incision/technique for cesarean section?
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The Joel-Cohen skin incision is associated with less fever, pain, analgesic use, and blood loss, as well as shorter surgeries and hospital stays when compared with the Pfannenstiel skin incision (SOR: A, based on a systematic review). For uterine incision, the answer is no clear, but blunt dissection is associated with less blood loss when compared with sharp dissection (SOR: A, based on a systematic review and subsequent RCT). Cephalad-caudad blunt dissection appears safer than transverse blunt dissection (SOR: B, based on 1 RCT).
Evidence Based Practice 13(8): 10.