Professional Documents
Culture Documents
Tugas Konkli Tipe Caesarean Section
Tugas Konkli Tipe Caesarean Section
Tugas Konkli Tipe Caesarean Section
Disadvantages:
• Extension downwards may involve the
cervix,vagina and even the bladder
• Extension into the upper segment increases
the chance of rupture in next pregnancy
• Lower segment is not approachable
fold of peritoneum
• Uterus opened
through an
extraperitoneal
approach
Indications
• Severe atonic PPH
• Placenta accreta , increta, percreta
• Severe sepsis
• Multiple large myomas
• Carcinoma in situ of the cervix
Insisi Kulit
Insisi Fasia
Insisi Otot
Diseksi Plica Vesicouterina
O’ Grady JP et all. 2008. Operative Obstetrics. 2 nd ed. Cambridge :
Cambridge University Press
• Pfanneinstiel
• Joel Cohen
• Maylard
• Cherney
• Diseksi otot rektus
abdominis secara tajam
dengan menggunakan
gunting pada bagian
midline
• Classical incision
• Jarang dilakukan karena terkait tingginya angka ruptur uteri (4 - 9%) dibandingkan
dengan insisi vertikal rendah (1 - 7%) dan insisi transversal rendah (0.2 - 1.5%)
• Berkorelasi dengan tingginya angka kecacatan ibu