Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1395
10
1
gregorian
2017
1
1
31
1
online
1
fulltext
en
Comparison of the Joel-Cohen-based technique and the transverse Pfannenstiel for caesarean section for safety and effectiveness: A systematic review and meta-analysis
Gynecology & Obstetrics
Gynecology & Obstetrics
Review Article
Review Article
<p><strong>Background:</strong> Caesarean section (C-section) is the most common surgery among women worldwide, and the global rate of this surgical<br>
procedure has been continuously rising. Hence, it is significantly crucial to develop and apply highly effective and safe caesarean<br>
section techniques. In this review study, we aimed at assessing the safety and effectiveness of the Joel-Cohen-based technique and<br>
comparing the results with the transverse Pfannenstiel incision for C-section.<br>
<strong>Methods:</strong> In this study, various reliable databases such as the PubMed Central, COCHRANE, DARE, and Ovid MEDLINE were<br>
targeted. Reviews, systematic reviews, and randomized clinical trial studies comparing the Joel-Cohen-based technique and the transverse<br>
Pfannenstiel incision were selected based on the inclusion criteria. Selected studies were checked by 2 independent reviewers<br>
based on the inclusion criteria, and the quality of these studies was assessed. Then, their data were extracted and analyzed.<br>
<strong>Results:</strong> Five randomized clinical trial studies met the inclusion criteria. According to the exiting evidence, statistical results of the<br>
Joel-Cohen-based technique showed that this technique is more effective compared to the transverse Pfannenstiel incision. Metaanalysis<br>
results of the 3 outcomes were as follow: operation time (5 trials, 764 women; WMD -9.78; 95% CI:-14.49-5.07 minutes,<br>
p<0.001), blood loss (3 trials, 309 women; WMD -53.23ml; 95% –CI: 90.20-16.26 ml, p= 0.004), and post-operative hospital stay (3<br>
trials, 453 women; WMD -.69 day; 95% CI: 1.4-0.03 day, p<0.001). Statistical results revealed a significant difference between the 2<br>
techniques.<br>
<strong>Conclusion: </strong>According to the literature, despite having a number of side effects, the Joel-Cohen-based technique is generally more<br>
effective than the Pfannenstiel incision technique. In addition, it was recommended that the Joel-Cohen-based technique be used as a<br>
replacement for the Pfannenstiel incision technique according to the surgeons’ preferences and the patients’ conditions.</p>
Caesarean Section (C-section), Joel-Cohen, Pfannenstiel, Misgav-Ladach, Modified Misgav-Ladach
313
318
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-2280-1&slc_lang=en&sid=1
Alireza
Olyaeemanesh
arolyaee@gmail.com
200319475328460033980
200319475328460033980
No
National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Elahe
Bavandpour
el.bavandpour@gmail.com
200319475328460033981
200319475328460033981
Yes
Tehran University of Medical Sciences, Tehran, Iran.
Mohammadreza
Mobinizadeh
mobinreza@yahoo.com
200319475328460033982
200319475328460033982
No
National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Mansoor
Ashrafinia
mansor@gmail.com
200319475328460033983
200319475328460033983
No
Arash University Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Maryam
Bavandpour
m.bavandpour 1108@gmail.com
200319475328460033984
200319475328460033984
No
Tehran University of Medical Sciences, Tehran, Iran.
Mojtaba
Nouhi
mojtabanouhi@gmail.com
200319475328460033985
200319475328460033985
No
School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.