{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T05:36:13Z","timestamp":1764308173987,"version":"3.46.0"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Introduction\u2002 The main advantage of extraperitoneal cesarean section\n                    (EXPCS) is not only less pain, faster recovery, and less potential for infection\n                    but also a possible lack of intraperitoneal adhesions.<\/jats:p>\n                  <jats:p>Methods\u2002 In a 3-year period from 2019 to 2022, 88 EXPCSs were performed. A\n                    comparison was made with 90 patients who underwent a standard transperitoneal\n                    cesarean section (TPCS). For both groups, the inclusion criterion was uterine\n                    inertia and prolonged labor as an indication for cesarean section. Only pregnant\n                    women from 37 to 42 weeks were included. After this, 51 patients remained in the\n                    EXPCS arm, and 49 remained in the TPCS arm.<\/jats:p>\n                  <jats:p>Results\u2002 No statistical difference was found in gestational weeks, newborn\n                    weight, Apgar score, erythrocyte (Er), hemoglobin (Hgb), and hematocrit (Htc)\n                    values and duration of operative time between the EXPCS and TPCS groups.\n                    Leukocytes, C-reactive protein (CRP) with fever higher than &gt;38\u00b0C on the\n                    third postoperative day were found statistically significantly (p=0.005) higher\n                    in the TPCS group. The usage of tramadol + metamizole at 3, 6, and 9 hours after\n                    delivery and diclofenac at 6, 12, and 18 hours after surgery was statistically\n                    significantly (p&lt;0.05) higher in the TPCS group. On the visual analog scale\n                    (VAS) 24 hours after surgery, a statistically significant difference was found\n                    (p = 0.001) between the two groups. In the small group of patients who underwent\n                    a TPCS section after an EXPCS, intraperitoneal adhesions were not found; in\n                    another group of patients who underwent a TPCS twice, adhesions were found in 12\n                    patients; Fisher's exact test (p=0.04).<\/jats:p>\n                  <jats:p>Conclusion\u2002 The protective effect of EXPCS for infection could be proven\n                    in prolonged delivery. EXPCS could be a good solution in the fight against\n                    adhesions and infection in women who undergo second, third, or even fourth\n                    cesarean sections.<\/jats:p>","DOI":"10.1055\/a-2338-5802","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T19:17:26Z","timestamp":1721157446000},"page":"188-194","source":"Crossref","is-referenced-by-count":1,"title":["Comparison between extraperitoneal and transperitoneal cesarean\n                    section: Retrospective case-control study"],"prefix":"10.1055","volume":"229","author":[{"given":"Boris","family":"Ba\u010di\u0107","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Clinical Hospital Center, Split,\n                    Croatia"},{"name":"University of Split, Medical School, Split,\n                    Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zlatko","family":"Hrgovi\u0107","sequence":"additional","affiliation":[{"name":"Kaiserstra\u00dfe 15, 60311 Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7209-382X","authenticated-orcid":false,"given":"Anis","family":"Cerovac","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics, General Hospital Te\u0161anj,\n                    Te\u0161anj, Bosnia and Herzegovina"},{"name":"Department of Anatomy, School of Medicine, University of Tuzla, Tuzla,\n                    Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ognjen","family":"Bar\u010dot","sequence":"additional","affiliation":[{"name":"Department of Surgery, Clinical Hospital Center Split, Split,\n                    Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jelena","family":"Sablji\u0107","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Clinical Hospital Center, Split,\n                    Croatia"},{"name":"University of Split, Medical School, Split,\n                    Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blagoja","family":"Markoski","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Clinical Hospital Center, Split,\n                    Croatia"},{"name":"University of Split, Medical School, Split,\n                    Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mateo","family":"Leskur","sequence":"additional","affiliation":[{"name":"University of Split, Medical School, Split,\n                    Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,7,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1016\/S0140-6736(18)31928-7","article-title":"Global epidemiology of use of and disparities in caesarean sections","volume":"392","author":"T Boerma","year":"2018","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"e005671","DOI":"10.1136\/bmjgh-2021-005671","article-title":"Trends and projections of caesarean section rates: global and regional\n                    estimates","volume":"6","author":"A P Betran","year":"2021","journal-title":"BMJ Glob Health"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"534","DOI":"10.5152\/dir.2016.15593","article-title":"Multidetector CT appearance of the pelvis after cesarean delivery: normal and\n                    abnormal acute findings","volume":"22","author":"B 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A systematic review and a meta-analysis of peritoneal\n                    non-closure and adhesion formation after caesarean section","volume":"147","author":"Y C Cheong","year":"2009","journal-title":"Eur J Obstet Gynecol Reprod Biol"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2338-5802.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T05:34:21Z","timestamp":1764308061000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2338-5802"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,16]]},"references-count":40,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,5,19]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2338-5802","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"type":"print","value":"0948-2393"},{"type":"electronic","value":"1439-1651"}],"subject":[],"published":{"date-parts":[[2024,7,16]]}}}