{"id":{"repo_id":"varna","oai_identifier":"oai:repository.mu-varna.bg:nls/4378"},"canonical_url":"https://search.dev.ndltd.org/etd/varna/oai:repository.mu-varna.bg:nls/4378","repository":{"repo_id":"varna","name":"Medical University of Varna","base_url":"https://repository.mu-varna.bg/oai/request"},"display":{"title":"Comparative Analysis of Techniques for Opening the Anterior Abdominal Wall in Cesarean Section: Misgav Ladach Vs. Pfannenstiel // Сравнителен анализ на техниките за отваряне на предна коремна стена при цезарово сечение: Misgav Ladach и Pfannenstiel","abstract":"Cesarean section is a widely used method of operative delivery, and its increasing frequency necessitates optimisation of surgical techniques in order to reduce operative trauma, blood loss, and postoperative complications. The thesis aims to conduct a comparative analysis of the techniques for opening the anterior abdominal wall in cesarean section—Misgav Ladach and Pfannenstiel-Kerr—and to determine the advantages of the Misgav Ladach method. The study was designed as a retrospective and prospective analysis of 327 women who underwent cesarean delivery at Prof. Dr. D. Stamatov Specialised Hospital of Obstetrics and Gynaecology, Varna, during the period 2019–2023, divided into a study group and a control group. Key operative parameters were analysed, including time to fetal extraction, total operative time, intraoperative blood loss, as well as the influence of body mass index and previous abdominal surgeries. The results demonstrate statistically significant shorter time to fetal extraction, lower blood loss, and shorter operative time with the Misgav Ladach technique compared to the Pfannenstiel-Kerr method. The obtained results have important practical implications and support the application of the Misgav Ladach technique as a more efficient and tissue-sparing approach to operative delivery.","abstract_html":"Cesarean section is a widely used method of operative delivery, and its increasing frequency necessitates optimisation of surgical techniques in order to reduce operative trauma, blood loss, and postoperative complications. The thesis aims to conduct a comparative analysis of the techniques for opening the anterior abdominal wall in cesarean section—Misgav Ladach and Pfannenstiel-Kerr—and to determine the advantages of the Misgav Ladach method. The study was designed as a retrospective and prospective analysis of 327 women who underwent cesarean delivery at Prof. Dr. D. Stamatov Specialised Hospital of Obstetrics and Gynaecology, Varna, during the period 2019–2023, divided into a study group and a control group. Key operative parameters were analysed, including time to fetal extraction, total operative time, intraoperative blood loss, as well as the influence of body mass index and previous abdominal surgeries. The results demonstrate statistically significant shorter time to fetal extraction, lower blood loss, and shorter operative time with the Misgav Ladach technique compared to the Pfannenstiel-Kerr method. The obtained results have important practical implications and support the application of the Misgav Ladach technique as a more efficient and tissue-sparing approach to operative delivery.","abstract_has_math":false,"creators":["Georgiev, Boyan","Георгиев, Боян"],"institution":"Medical University of Varna","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2026,"date_issued":"2026-04-02T12:59:40Z","date_published":"2026-04-02T12:59:40Z","updated_at":"2026-07-27T21:56:56Z","subjects":["Cesarean section","Misgav Ladach technique","Pfannenstiel-Kerr method","Акушерство и гинекология / Obstetrics and Gynaecology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://repository.mu-varna.bg/handle/nls/4378","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Georgiev, Boyan","Георгиев, Боян"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2026-04-02T12:59:40Z","2025"]},{"key":"dc:publisher","label":"Institution","values":["Medical University of Varna"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Cesarean section","Misgav Ladach technique","Pfannenstiel-Kerr method","Акушерство и гинекология / Obstetrics and Gynaecology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://repository.mu-varna.bg/handle/nls/4378"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Cesarean section is a widely used method of operative delivery, and its increasing frequency necessitates optimisation of surgical techniques in order to reduce operative trauma, blood loss, and postoperative complications. The thesis aims to conduct a comparative analysis of the techniques for opening the anterior abdominal wall in cesarean section—Misgav Ladach and Pfannenstiel-Kerr—and to determine the advantages of the Misgav Ladach method. The study was designed as a retrospective and prospective analysis of 327 women who underwent cesarean delivery at Prof. Dr. D. Stamatov Specialised Hospital of Obstetrics and Gynaecology, Varna, during the period 2019–2023, divided into a study group and a control group. Key operative parameters were analysed, including time to fetal extraction, total operative time, intraoperative blood loss, as well as the influence of body mass index and previous abdominal surgeries. The results demonstrate statistically significant shorter time to fetal extraction, lower blood loss, and shorter operative time with the Misgav Ladach technique compared to the Pfannenstiel-Kerr method. The obtained results have important practical implications and support the application of the Misgav Ladach technique as a more efficient and tissue-sparing approach to operative delivery.","Цезаровото сечение е широко прилаган метод за оперативно родоразрешение, чиято нарастваща честота изисква оптимизиране на използваните хирургични техники с цел намаляване на оперативната травма, кръвозагубата и следоперативните усложнения. Настоящият дисертационен труд има за цел да извърши сравнителен анализ на техниките за отваряне на предната коремна стена при цезарово сечение – Misgav Ladach и Pfannenstiel-Kerr, и да установи предимствата на метода Misgav Ladach. Проучването е проведено като ретроспективен и проспективен анализ на 327 родилки, оперирани в СБАГАЛ „Проф. д-р Д. Стаматов“ – Варна за периода 2019–2023 г., разпределени в изследвана и контролна група. Анализирани са показатели като време за изваждане на плода, общо оперативно време, интраоперативна кръвозагуба, както и влиянието на индекс на телесна маса и предходни оперативни интервенции. Резултатите показват статистически значимо по-кратко време за екстракция на плода, по-ниска кръвозагуба и по-кратко оперативно време при техниката Misgav Ladach в сравнение с Pfannenstiel-Kerr. Получените резултати имат практическо значение и обосновават приложението на техниката Misgav Ladach като по-ефективен и щадящ метод за оперативно родоразрешение."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Comparative Analysis of Techniques for Opening the Anterior Abdominal Wall in Cesarean Section: Misgav Ladach Vs. Pfannenstiel // Сравнителен анализ на техниките за отваряне на предна коремна стена при цезарово сечение: Misgav Ladach и Pfannenstiel"]}]}],"canonical_facts":{"dc:creator":["Georgiev, Boyan","Георгиев, Боян"],"dc:date":["2026-04-02T12:59:40Z","2025"],"dc:description":["Cesarean section is a widely used method of operative delivery, and its increasing frequency necessitates optimisation of surgical techniques in order to reduce operative trauma, blood loss, and postoperative complications. The thesis aims to conduct a comparative analysis of the techniques for opening the anterior abdominal wall in cesarean section—Misgav Ladach and Pfannenstiel-Kerr—and to determine the advantages of the Misgav Ladach method. The study was designed as a retrospective and prospective analysis of 327 women who underwent cesarean delivery at Prof. Dr. D. Stamatov Specialised Hospital of Obstetrics and Gynaecology, Varna, during the period 2019–2023, divided into a study group and a control group. Key operative parameters were analysed, including time to fetal extraction, total operative time, intraoperative blood loss, as well as the influence of body mass index and previous abdominal surgeries. The results demonstrate statistically significant shorter time to fetal extraction, lower blood loss, and shorter operative time with the Misgav Ladach technique compared to the Pfannenstiel-Kerr method. The obtained results have important practical implications and support the application of the Misgav Ladach technique as a more efficient and tissue-sparing approach to operative delivery.","Цезаровото сечение е широко прилаган метод за оперативно родоразрешение, чиято нарастваща честота изисква оптимизиране на използваните хирургични техники с цел намаляване на оперативната травма, кръвозагубата и следоперативните усложнения. Настоящият дисертационен труд има за цел да извърши сравнителен анализ на техниките за отваряне на предната коремна стена при цезарово сечение – Misgav Ladach и Pfannenstiel-Kerr, и да установи предимствата на метода Misgav Ladach. Проучването е проведено като ретроспективен и проспективен анализ на 327 родилки, оперирани в СБАГАЛ „Проф. д-р Д. Стаматов“ – Варна за периода 2019–2023 г., разпределени в изследвана и контролна група. Анализирани са показатели като време за изваждане на плода, общо оперативно време, интраоперативна кръвозагуба, както и влиянието на индекс на телесна маса и предходни оперативни интервенции. Резултатите показват статистически значимо по-кратко време за екстракция на плода, по-ниска кръвозагуба и по-кратко оперативно време при техниката Misgav Ladach в сравнение с Pfannenstiel-Kerr. Получените резултати имат практическо значение и обосновават приложението на техниката Misgav Ladach като по-ефективен и щадящ метод за оперативно родоразрешение."],"dc:format":["application/pdf"],"dc:identifier":["http://repository.mu-varna.bg/handle/nls/4378"],"dc:publisher":["Medical University of Varna"],"dc:subject":["Cesarean section","Misgav Ladach technique","Pfannenstiel-Kerr method","Акушерство и гинекология / Obstetrics and Gynaecology"],"dc:title":["Comparative Analysis of Techniques for Opening the Anterior Abdominal Wall in Cesarean Section: Misgav Ladach Vs. Pfannenstiel // Сравнителен анализ на техниките за отваряне на предна коремна стена при цезарово сечение: Misgav Ladach и Pfannenstiel"],"dc:type":["thesis"]},"updated_at":"2026-07-27T21:56:56Z"}