Telenik N. The differentiated approach to an individual choice of a technique cesarean sections at various obstetrical situations.

Scientific work is devoted to decrease in frequency of postoperative complications at abdominal delivery on the basis of development and introduction of the differentiated approach to a technique mending a section on a uterus. Influence of various techniques mending a uterus after cesarean sections (scheduled operation on a background of not developed bottom segment is investigated; repeated abdominal delivery and high infectious risk of postoperative complications) on a condition involution and a seam on a uterus, and also on reparative processes in a uterus. It is shown, that at a choice of a technique mending a section on a uterus during time cesarean sections it is necessary to use the differentiated approach which consists in the following: at scheduled cesarean section on a background of not developed bottom segment the preference should be given single-row Roverden?s seam; at repeated cesarean section and a high degree of infectious risk - double-row Roverden?s seam. With the purpose of the control over clinical current of the postoperative period at abdominal delivery is necessary from 3 day it is necessary to estimate ultrasound and laboratory parameters.