The Joel-Cohen incision for cesarean section, compared to the Pfannenstiel incision, is associated with which advantage in Cochrane meta-analyses?
- A Lower incidence of bladder injury
- B Lower risk of wound dehiscence at 6 weeks
- C Reduced blood loss and shorter operating time ✓
- D Significantly better cosmetic outcome
Correct answer: C. Reduced blood loss and shorter operating time
Explanation
The Joel-Cohen incision (straight, slightly curved transverse 3 cm above symphysis, blunt dissection) is associated with significantly shorter operating time and reduced intraoperative blood loss compared with the Pfannenstiel incision in Cochrane meta-analyses. Bladder injury rates are comparable. Cosmetic outcome is similar. Wound dehiscence data does not significantly favour either approach.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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