Drying the biggest channel for unnecessary minimally invasive surgery through MAGIC versus TRAGIC caesarean section

Document Type : Review article

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Department of Obstetrics & Gynecology. Faculty of Medicine. Assiut University

Abstract

The national and international rates of caesarean section (CS) are tremendously increased and the reasons behind this annoying increase in the CS rates are multifactorial. Unfortunately, and there no instant recovery plans or hopes for bring to an end this frustrating problem. Unacceptably, most of the unsoundly indicated CSs are not done in professional manner therefore an epidemic of frustrating complications are encountered in the daily practices. Namely, pelvic adhesions, iatrogenic secondary infertility, ectopic pregnancy, uterine niche, niche related pregnancy and placenta accrete spectrum are examples of the complications of unprofessionally performed CS. Most of those unwelcomed complication will require a form or another of minimally invasive surgeries (MIS) with its anticipated, costs, patient’s inconveniences, complications as well as adverse outcomes specially in severer forms of CS complications. This article highlights how to avoid or minimize the occurrence of CS complications and consequently eliminating the needs for subsequent unnecessary MIS.

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