Which is Better: Transverse or Vertical Incision for Cesarean Section?

Choice of Transverse and Longitudinal Incisions for Cesarean Section

The selection of a transverse or longitudinal incision for cesarean section is determined based on the specific circumstances of the mother, each with its own advantages and disadvantages.

1. Transverse Incision:

This type of incision often involves subcutaneous suturing, leading to faster postoperative recovery and relatively shorter hospital stays. For mothers who are not prone to scarring, healing is more favorable, with smaller and more aesthetically pleasing scars. However, transverse incisions pose greater surgical challenges, particularly in cases of complete placenta previa.

2. Longitudinal Incision:

A longitudinal incision offers superior surgical visibility, facilitating the surgeon's operation. While recovery from this incision is slower, often requiring suture removal post-operatively and longer hospital stays compared to transverse incisions, with less aesthetically pleasing scars, it is more conducive to fetal delivery in cases of placenta previa.

3. Maternal Health Status:

The choice of incision type also considers the mother's health condition. If the mother has severe abdominal scars or a history of other surgeries, the surgeon may opt for a longitudinal incision to facilitate better manipulation and observation.

4. Emergency Situations:

In emergency cesarean sections, time is crucial, and surgeons generally choose the incision method that allows for faster operation. Longitudinal incisions may be more common in such cases, as they provide greater operative space and quicker hemorrhage control.

5. Final Incision Choice:

The ultimate decision on incision choice should follow the advice of the physician, who will consider the mother's specific circumstances, fetal position, and health status to make the most suitable decision.

6. Postoperative Care:

Irrespective of the incision chosen, postoperative care is paramount. Maintaining incision cleanliness, avoiding strenuous activities, and adhering to the doctor's care recommendations can aid in quicker maternal recovery.

In cesarean sections, there is no absolute superiority between transverse and longitudinal incisions. The key lies in selecting the most suitable surgical approach based on specific circumstances and the professional judgment of the physician. We hope this article helps you better understand the choice of incisions for cesarean sections, reassuring you as you welcome new life into the world.