What is the difference between horizontal incision and vertical incision in cesarean section?

When the fetus was in distress, she had a caesarean section and the incision didn't care. After childbirth, I chatted with the lying-in woman in the next bed, only to know that someone specially invited an expert to make a cross section, and only then did I know that there was a difference between the cross section and the longitudinal section of caesarean section.

What's the difference between transverse cutting and vertical cutting?

1. Aesthetic.

The vertical incision wound is less than 2 inches from pubic bone to navel, so it is impossible to wear low-waisted or navel-exposed clothes. If it is a transverse incision, the wound is only 3 or 4 cm above the pubic bone, and the texture of the incision is consistent with that of the skin. If the recovery is good, it is only a shallow thin line, which is basically invisible. 2. The difficulty of the operation.

The opening of vertical incision is about 12 cm, which is large and convenient for abdominal exploration and fetal head delivery. The opening of the transverse incision is only about 10 cm. The wound is small, the operation is difficult, and the doctor's level is high. 3. Postoperative recovery.

Because of the large wound surface, the vertical incision is not as fast as the horizontal incision, and it is easy to leave scars, but the vertical incision caesarean section is not easy to cause intrauterine adhesion.

In other words, horizontal profile and vertical profile have their own advantages and disadvantages. If the parturient has no special requirements, the doctor will generally choose the longitudinal section, and in emergency situations such as fetal hypoxia and too large fetal head, he will also choose the longitudinal section. If you want to make a cross section, you can ask the doctor in advance, but the final laparotomy method is still in the hands of the doctor.

Nowadays, with the improvement of medical level, caesarean section generally chooses cross-cutting knife edge. The previous vertical cutting was only for observation, which was not conducive to postpartum recovery.

Vertical trimming has a wide field of vision, generally 12~ 15cm, which can clearly see the baby's condition and avoid the possibility of surgical mistakes. And it is not easy to hurt the uterus, which was praised by the medical profession before. Nine out of ten women will be cut vertically, and only a few who have communicated with doctors will be cut horizontally.

The transverse trimming is consistent with the texture of maternal abdominal muscles, which is convenient for postpartum recovery. However, the length of the cutting edge is about 10cm, which limits the doctor's vision and requires a higher professional level of doctors.

The transverse incision is beautiful, but the visual field is small, and the pelvic cavity is easy to adhere after operation. Although the longitudinal incision is not beautiful, the surgical field of vision is large and the pelvic cavity is not easy to adhere, so each has its own advantages and disadvantages.

In short, the doctor will choose between transverse cutting and vertical cutting according to the situation. If the baby is too big, it is generally recommended to cut vertically. Of course, sometimes doctors don't have time to communicate with pregnant women, and family members can inform doctors of her wishes in advance before surgery.

When you have a cesarean section, you may see that some people have a horizontal incision, while others have a vertical incision. So what's the difference between these two incision methods?

First of all, vertical incisions have basically been eliminated now, and some are secondary deliveries. Because the last incision is a vertical incision, you can only do another operation along the last vertical incision, so it is still a vertical incision. However, at present, there are few vertical incisions for the first cesarean section.

Longitudinal incision is also called classic cesarean section incision, and transverse incision is called new cesarean section incision. Relatively speaking, the vertical incision is fully exposed, which is beneficial to abdominal exploration, and the operation is rapid, the fetus is delivered quickly, and there is no need to cut off the abdominal muscles horizontally, so the probability of postoperative adhesion is low.

However, the disadvantage of the vertical mouth is that it is relatively long and large, and it is not easy to hide, so it looks not beautiful enough. Moreover, it is easy to cause poor wound healing after operation.

Generally speaking, for vertical incision, the new type of transverse incision has the advantages of low position, small incision, good postoperative healing and basically no obvious scar, and the incidence of uterine rupture during re-delivery is lower than that of vertical incision, which is easy to cover up when wearing clothes, so it is basically a transverse incision at present.

Another advantage of transverse incision is that during the second pregnancy, if the time interval has expired and everything is normal, you can consider trying vaginal delivery. But in any case, as long as the mother and child are safe, it is the ultimate goal.

Because there are some indications of caesarean section (such as the fetus is too big, the pelvis is too small, and the fetal position is not correct). ), some pregnant mothers have to give up natural delivery and can only welcome the arrival of the baby through caesarean section. Although caesarean section has been decided, pregnant mothers will still struggle with another question: should they choose a horizontal incision or a vertical incision?

First, the transverse incision

For some pregnant mothers who love beauty, the transverse incision is a good choice, mainly because the incision is generally under the stomach when cutting horizontally, which makes it difficult for some pregnant mothers who like to wear low-rise pants to expose the crossing. In addition, this cross-sectional method produces less bleeding, reduces the probability of uterine rupture, and has a higher safety factor.

Disadvantages of transverse incision: 1, the operation time is longer than that of longitudinal incision;

2. The exposure range is smaller than the longitudinal incision, so the incision should not be prolonged;

3. The transverse incision has great damage to blood vessels and nerves. If caesarean section is performed again, abdominal adhesion will be more serious, which will increase the difficulty of operation and increase complications.

Second, the longitudinal incision

In the process of delivery, longitudinal incision is a common surgical method. Its advantage is that the incision is easy to expand and doctors have greater flexibility in operation. Especially for pregnant women with placenta in front, the operation is faster and more effective, which avoids the fetus staying in the pregnant mother's stomach for too long and increasing the harm to the fetus.

Disadvantages of longitudinal incision: 1, longitudinal incision will cut off nerves and blood vessels, and the postoperative tension will be high, which may lead to obvious postoperative scars;

2, cut off the nerve, the skin will have sensory disorders (such as numbness, etc.) after the operation. );

3. Slow recovery after operation, which easily leads to fat liquefaction;

4. The scar of longitudinal incision is not beautiful, which will affect wearing bikini or shorts.

Transverse incision and longitudinal incision have their own advantages and disadvantages, but from a medical point of view, longitudinal incision is the most scientific.

1. The wound just after operation is covered with sterile dressing, but there is still a small amount of blood oozing from the wound, which is easy to breed bacteria. Therefore, it is necessary to disinfect and clean the wound on the second day after operation, and then put on a new sterilized dressing.

2. On the 7th day after operation, the wound will gradually heal, and the dressing of the wound can be removed. At this time, the mother can take a bath.

3. If pregnant women sweat easily in summer, the wound should be disinfected and cleaned in the next few days. In addition, pay attention to whether there are signs of redness and tenderness in the local area.

4. For pregnant women with scar constitution, silica gel can be applied to the wound surface from 10 day after operation to reduce scar hyperplasia.

What is the difference between horizontal incision and vertical incision in cesarean section? Take myself as an example. I have a transverse incision, and the wound is healing very well, so I can hardly see it, so I still support the transverse incision. However, a person's experience is obviously biased. Let's look at the difference between horizontal incision and vertical incision from a medical point of view.

I. Evolution of cesarean section incision

The incision of classic cesarean section is longitudinal incision, also called vertical incision, including incision on uterus. The biggest disadvantage of this kind of incision is the high probability of uterine rupture after pregnancy again. At present, this operation mode has been basically eliminated.

Usually, vertical incision refers to longitudinal incision in abdomen and horizontal incision in uterus. This surgical method has been widely used for many years, and it is called universal incision, which naturally makes sense.

We usually call the transverse incision a new type of cesarean section, which originated in the late 1980s. This kind of operation is that the abdominal incision is a transverse incision, and the uterus is also a transverse incision. Because the incision heals well, it is very popular with pregnant women, just like me.

Second, advantages and disadvantages of vertical incision

Advantages:

1, the surgical field is fully exposed and the tissue damage is small.

2. It is beneficial to abdominal exploration.

3. It is beneficial to the rapid delivery of fetal head and is the first choice in emergency.

4. The probability of postoperative abdominal adhesion is low, and it is also a suitable choice for women who need a second cesarean section.

5, once there are other abdominal diseases, you need to open the abdomen again, so that the abdominal wound will not be horizontal and vertical.

disadvantaged

1, the vertical incision tension is large, and the postoperative pain is obvious.

2. The probability of poor wound healing is relatively high.

3, unsightly

Third, the advantages and disadvantages of transverse incision

superiority

1, low incision tension and little postoperative pain.

2. The abdominal wall of the lower abdomen is thin, the tension is small, and the incision heals quickly.

3, the position of the knife edge is low, and the direction of the incision is consistent with the wrinkles of the skin, so the incision is not easy to see, and the part is beautiful.

disadvantaged

1, limited surgical field of vision, which is not conducive to pelvic and abdominal exploration.

2. The postoperative adhesion probability is high, which is not conducive to the second cesarean section.

Fourth, how to choose?

In fact, choose vertical incision or horizontal incision. We generally suggest this.

1, at the doctor's discretion

A doctor or a medical team has their own results in the study of the two surgical methods, and they usually focus on the better surgical method they think, not just from the aesthetic point of view. It is normal for pregnant women to report to the hospital that doctors only make vertical incisions, while doctors in some hospitals only make horizontal incisions. Doctors have different theoretical basis for choosing these two kinds of incisions.

2, as the case may be

Some hospital doctors will ask you what kind of incision you want. Do it according to your own choice, and some doctors directly give you reasons for making an incision. For example, in case of fetal emergency, some doctors will make a vertical incision directly and quickly.

In short, no matter what kind of incision, maternal and child safety is king.

What is the difference between horizontal incision and vertical incision in cesarean section?

Mothers who need caesarean section may have such questions: Why do some mothers have horizontal incision and some mothers have vertical incision? Some people say that horizontal incision is good, while others say that vertical incision is good. So what is good?

Advantages and disadvantages of transverse incision: relatively less trauma, faster postoperative recovery and more beautiful. Even wearing a short skirt in summer is not easy to expose the wound, which is more in line with the aesthetic needs of women. However, it will damage the nerve tissue of the lower abdominal wall, leading to numbness of the incision position, which lasts for about half a year. In addition, the relative visual field of the transverse incision is poor, and if the surgeon is inexperienced, it is easy to damage the organs around the uterus such as bladder or cause abdominal adhesion. If your first child is a caesarean section and you don't want a second child, you can use a transverse incision. Most big hospitals in big cities use a transverse incision of the lower abdomen.

Advantages and disadvantages of vertical incision: the surgical field of vision is good, the surgical safety is relatively high, and it is not easy to destroy nerves and blood vessels, but the wound surface is damaged greatly, the healing speed is slower than that of horizontal incision, and the aesthetics is not as good as that of horizontal incision. Vertical incision is relatively beneficial to the second operation, and the operation is relatively convenient, and there is relatively little abdominal adhesion.

My caesarean section was vertical incision, and my friend gave birth to triplets. Because the first two times were horizontal incisions, the doctor had to make a vertical incision during the third caesarean section. Later, I went to the central hospital and found an expert to do it on the original wound, but the operation time was obviously prolonged. Caesarean section, as a traumatic operation, has advantages and disadvantages, whether it is a transverse incision or a longitudinal incision.

Cesarean section was very popular a few years ago, especially in hospitals, where there were indicators of cesarean section. Cesarean section has a short labor process. It takes more than an hour to do an operation. Obstetrics can take several operations a day. And the cost of surgery is relatively high. Of course, this is very popular in hospitals.

The year when my daughter was born happened to be the Year of the Loong. There are many dragon babies in the hospital, and there are not enough beds. Many parturients are waiting for delivery, so caesarean section is generally recommended.

At that time, the hospital only recommended caesarean section to us, but did not tell us the difference between horizontal incision and vertical incision, so we could choose by ourselves. It seems that there were horizontal incisions in the hospital at that time.

As an experienced person, I want to share with you the difference between a horizontal incision and a vertical incision:

Advantages:

Advantages:

No matter how you choose, you'd better ask the doctor carefully which delivery method is more beneficial to yourself and your child. The choice of delivery mode and incision direction of caesarean section is to minimize the risk of delivery.

Transverse incision and longitudinal incision are common incision methods for caesarean section. Under normal circumstances, doctors will advise pregnant women to use crosscutting. In some special cases, doctors will use cross-cutting, cross-cutting and longitudinal cutting on pregnant women. In fact, each has its own advantages and disadvantages.

1. The aesthetic degree of scars is different. When vertical incision is made, the incision extends from pubic bone to navel, and the wound is large. Even if the postpartum scar is recovered, it will affect the appearance. Cross-cutting is to move the knife 3-4 cm above the pubic symphysis, and the wound position is low. After recovery, the scar is not exposed, which does not affect the mother's continued wearing navel dress or bikini.

2. The operation difficulty is different. The vertical incision is about 12 cm long, and the incision is large, so the doctor can see clearly that the fetus is upside down in the uterus, so the delivery time is short and it is easier to take out the fetus. The transverse cutting edge is about 10 cm long, the incision is small, the doctor's field of vision is small, and the delivery time is long.

3. The vertical cut wound is large and the postpartum recovery is slow. The transverse wound is small and the postpartum recovery is fast. Cross-cutting the abdominal skin tissue of lying-in women is prone to adhesion, but vertical cutting will not cause skin adhesion.

1. The fetal biparietal diameter is too large, or it is a huge baby.

2. Pregnant women with thick abdominal fat or obese pregnant women.

3. Pregnant women plan to have two children and three children.

Warm up and tell you the horizontal incision and vertical incision of cesarean section, so that pregnant mothers can feel more at ease and less confused ~

Let's talk about cesarean section first, that is, skip the natural delivery process of vaginal delivery, but take out the fetus directly from the uterus after cutting the uterus through the abdominal wall.

If you encounter the situation that the birth canal is too narrow, the fetal position is seriously abnormal, the fetus is abnormal, twins or multiple births, the fetus is too large, the elderly woman, the pregnancy is difficult, the birth canal is abnormal or the water is broken too early, then you will experience cesarean section.

Cesarean section begins with abdominal incision, and there are two ways: horizontal incision and vertical incision (that is, vertical incision).

The difference between transverse cutting and longitudinal cutting

In fact, horizontal incision and vertical incision have their own advantages. It can be said that both have their supporters Let's look at their respective advantages. Although they are all knives, they are still very learned ~

From an aesthetic point of view, transverse cutting is better than vertical cutting.

The transverse arc of the transverse incision is just consistent with the skin texture, and it is more difficult to see whether there is a small belly. The vertical incision has obvious scars on the abdominal wall. If you are a person with scar constitution, your stomach is like lying a centipede, which doesn't look good. Don't dare to wear anything with your stomach exposed.

As far as postoperative pain is concerned, transverse cutting is better than longitudinal cutting.

Cross-cutting: the traction of the wound after operation is light when it lies flat, so the degree of postoperative pain is light. Vertical cutting: it is heavier to pull up and lie down, and the parturient feels more pain.

From the difficulty of delivery, vertical cutting is better than cross cutting.

Due to the influence of the length of the fetal head delivery wound, the delivery time is longer and more difficult than the vertical cutting.

In short, cross cutting and vertical cutting vary from person to person, and you can choose according to your own situation ~

Everyone has a love of beauty, and there are different opinions on whether to choose a horizontal incision or a vertical incision for cesarean section, not to mention the treasure mothers, but also the doctors. Some people say that the transverse abdominal incision is good, others say that the longitudinal abdominal incision is good, and so is the hospital. Some hospitals have horizontal incisions, and some hospitals have vertical incisions, which is related to the region and surgeons. That's how treasure moms judge which is good and which is bad.

As a professional obstetrician, let's talk about the advantages and disadvantages of transverse incision and longitudinal incision.

Generally speaking, the transverse incision heals well and is beautiful, but the requirements for anesthesia are relatively high, and the field of vision exposed during the operation is relatively narrow, which may cause great damage to muscles and adhesion of abdominal wall tissue.

The vertical incision operation has a clear vision and can be performed under local anesthesia. The low probability of abdominal wall adhesion is beneficial to the second pregnancy, but the scar is clear and the pain is obvious after operation.

After talking for a long time, it's time for me to say something. In fact, I am pragmatic and suggest that Ma Bao make a vertical incision unless Ma Bao insists on making a horizontal incision. Good luck with your pregnancy.