How to cut the wound for the second caesarean section

There are two types of abdominal incisions for caesarean sections: vertical incision and transverse incision. Nowadays, transverse incision is mostly used, so that the scar left can be covered by clothing. The incision for the second cesarean section is usually made horizontally, but many mothers worry about whether the incision should be made at the original incision. In fact, the same incision is used on the outer abdomen that we can see, but the incision on the internal uterus should avoid the original incision.

Caesarean section operation method and characteristics

(1) Vertical

Surgical method: Make a vertical cut of about 15 cm in the center below the navel.

Advantages: If there are any unexpected situations during the operation, it is convenient to enlarge the wound, the scope of the operation will be clearer, and the time will be faster.

Disadvantages: The wound looks ugly. In addition, since the scar is pulled under greater pressure, straight wounds are more likely to grow scar tissue or produce abdominal hernias.

(2) Horizontal

Surgical method: Make a horizontal cut of about 10 to 15 centimeters at the upper edge of the pubic bone below the abdomen, which is also the upper edge of the pubic hair, like a smile.

Advantages: The wound is more aesthetically pleasing and less likely to cause abdominal hernia and scar tissue.

Disadvantages: The field of view of the wound will be reduced, which is not suitable for other complex surgeries or obese patients.

How to make a cesarean section incision for the second child

The incision for a second-born cesarean section is usually horizontal. Considering that the skin texture below the human navel is horizontal, the skin tension is smaller after the transverse arc incision is sutured, and postpartum recovery is faster. Moreover, the skin of the horizontal incision is more beautiful after recovery, and women can wear a "bikini" - just pull up the pants to cover the line, but the vertical incision is more difficult to cover.

Will the same incision be used for the second caesarean section?

No matter how many cesarean sections a pregnant woman has, the incision on the abdominal wall is the same, so the key is the incision on the uterus. The incision of the uterus is invisible to everyone because it is inside the abdominal cavity. Only after the doctor performs surgery and exposes the uterus can the incision of the uterus be seen. If it is on the original incision, the original incision is very thin and has no elasticity. It is very dangerous at this time. Therefore, when we choose the uterine incision, we will try to avoid it slightly from the original uterine incision to allow it to have some uterine muscle, which makes it easier to sew. Secondly, it can also make the uterus contract better. The cesarean section incision that everyone sees is the incision on the abdominal wall.