Skin incision |
Joel-Cohen |
Pfannenstiel |
Incision of subcutaneous tissue |
in the middle along a length of 3 cm |
along the full length |
Incision of the fascia |
in the middle with minimal severing of the musculature |
along the full length with severing of the musculature |
Opening of the peritoneum |
in the middle, blunt dissection, with minimal severing of the musculature |
along the full length, sharp, bladder is pushed to one side |
Uterotomy |
superficial incision of the uterine serosa (scalpel), blunt introduction of forceps, horizontal expansion of incision using scissors |
incision through all layers of the uterus using a scalpel, manual horizontal expansion |
Placenta extraction |
cord traction |
manual extraction |
Uterine suture |
buried, short suture |
continuous, long suture |
Peritoneal suture |
none |
continuous |
Myosuture |
none |
interrupted sutures |
Subcutaneous tissue |
none |
interrupted sutures |
Skin suture |
intracutaneous, continuous, open at either end |
intracutaneous, continuous |