{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T22:58:31Z","timestamp":1778540311504,"version":"3.51.4"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2016,11,14]],"date-time":"2016-11-14T00:00:00Z","timestamp":1479081600000},"content-version":"vor","delay-in-days":44,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:p>\n            Objective\u2003To assess the frequency of surgical techniques at cesarean delivery (CD) among U.S. obstetricians.<\/jats:p><jats:p>\n            Methods\u2003Members of the American College of Obstetrician Gynecologists were randomly selected and e-mailed an online survey that assessed surgical closure techniques, demographics, and reasons. Data were analyzed using SPSS (IBM Corp., Armonk, New York, United States), descriptive statistics, and analysis of variance.<\/jats:p><jats:p>\n            Results\u2003Our response rate was 53%, and 247 surveys were analyzed. A similar number of respondents either \u201calways or usually\u201d versus \u201crarely or never\u201d reapproximate the rectus muscles (38.4% versus 43.3%, p\u2009=\u20090.39), and close parietal peritoneum (42.5% versus 46.9%, p\u2009=\u20090.46). The most frequently used techniques were double-layer hysterotomy closure among women planning future children (73.3%) and suturing versus stapling skin (67.6%); the least frequent technique was closure of visceral peritoneum (12.2%). Surgeons who perform double-layer hysterotomy closure had fewer years in practice (15.0 versus 18.7 years, p\u2009=\u20090.021); surgeons who close visceral peritoneum were older (55.5 versus 46.4 years old, p\u2009&lt;\u20090.001) and had more years in practice (23.8 versus 13.8 years practice; p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n            Conclusion\u2003Similar numbers of obstetricians either reapproximate or leave open the rectus muscles and parietal peritoneum at CD, suggesting that wide variation in practice exists. Surgeon demographics and safety concerns play a role in some techniques.<\/jats:p>","DOI":"10.1055\/s-0036-1594247","type":"journal-article","created":{"date-parts":[[2016,11,14]],"date-time":"2016-11-14T18:33:26Z","timestamp":1479148406000},"page":"e119-e125","source":"Crossref","is-referenced-by-count":15,"title":["Surgical Techniques at Cesarean Delivery: A U.S. Survey"],"prefix":"10.1055","volume":"02","author":[{"given":"Deirdre","family":"Lyell","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Stanford University, Palo Alto, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Power","sequence":"additional","affiliation":[{"name":"Research Department, American College of Obstetricians & Gynecologists, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Murtough","sequence":"additional","affiliation":[{"name":"Research Department, American College of Obstetricians & Gynecologists, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amen","family":"Ness","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Stanford University, Palo Alto, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Britta","family":"Anderson","sequence":"additional","affiliation":[{"name":"Research Department, American College of Obstetricians & Gynecologists, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristine","family":"Erickson","sequence":"additional","affiliation":[{"name":"Research Department, American College of Obstetricians & Gynecologists, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Schulkin","sequence":"additional","affiliation":[{"name":"Research Department, American College of Obstetricians & Gynecologists, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2016,11,14]]},"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0036-1594247.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T14:09:40Z","timestamp":1557151780000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0036-1594247"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2016,10,25]]},"published-print":{"date-parts":[[2016,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0036-1594247","relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"value":"2378-5128","type":"print"},{"value":"2378-5136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10]]}}}