الفهرس 
Historical BackgroundOnly 14 pages are availabe for public view
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Abstract
SUMMARY
Cesarean birth is the most common laparotomy done in the world today, with an estimation of over one million operation performed every year. The most practiced surgical technique for performing cesarean delivery is the lower segment cesarean section which described by Munro Kerr in the early of 20th century and by the low transverse skin incision described by Pfannenstiel in 1900. Since introduction of this technique, no much more modifications has been introduced until the first of 1954 where Joel Cohen introduced a new incision for cesarean delivery. This study aims to evaluate the efficacy of Joel-Cohen incision over Pfannenstiel incision in performing cesarean section. The design of the study is a randomized controlled study where 156. pregnant women with single full term fetuses, undergoing cesarean delivery for different indications, all patients were randomly allocated in two groups each include (78) patient. Group (A) used the Joel Cohen incision for abdominal entry while group (B) used the Pfannenstiel incision.
The results of the study showed that the Joel Cohen incision compared to Pfannenstiel incision for cesarean section was; Shorter operating time. Less blood loss. Shorter hospital stay. Less post-operative pain and less consumption of analgesia (75mg diclofenac potassium /ampule). Earlier ambulation. Earlier intestinal motility. Comparing the incidence of post-operative wound infection and cosmetic appearance of the scar showed no significant difference between both groups