Comparative Study of Caesarean Section Techniques Mop Isolation Technique of Caesarean Section with Standard Caesarean Section

Objectives: To study the feasibility, merits, demerits and post operative progress of "Mop isolation technique" of caesarean section in comparison to the "Standard caesarean section" Methods: The study was carried in a tertiary referral centre for a period of two years. For the present study, a total of 200 patients were selected. The patients were divided into two groups according to their turn. Parameters of studies were , Preoperative: Indication of caesarean section and number of per vaginum examination. Intraoperative: Type of anaesthesia, type of abdominal incision, uterine incision to baby delivery time, intraoperative complications, blood loss during surgery and apgar score at birth. Postoperative: Abdominal pain assessed by visual analogue scale (VAS), febrile morbidity, abdominal distension, IV fluid requirement, mean time of recovery of bowel activity, wound behaviour, total duration of hospital stay and quality of recovery score (satisfaction score). Results: "Mop isolation technique" of caesarean section is associated with less postoperative abdominal distension, febrile morbidity, early return of bowel activity, early initiation of enteral fluids and satisfaction score (p < 0.05). Late postoperative sequelae of peritoneal cavity in "Mop isolation technique" of caesarean section needs to be studied. Conclusion: "Mop isolation technique" is a simplified alternative to extra-peritoneal caesarean section which has the advantages of extra peritoneal cesarean section.