Critical evaluation of some surgical techniques of cesarean section

Objective: To compare Stark's method of cesarean section with the traditional technique. Method: We performed a retrospective study in all patients undergoing cesarean section since January 1997 to July 1999 [T 525; 311(59%) Stark group and 214 (41%) traditional group]. The fetus extraction's time and the postoperative recovery of women who underwent Stark's method was compared with that of women who had undergone traditional technique. Results: The fetus extraction's time was 5 minutes in the Stark group compared with 10,5 minutes in the traditional group (p=0,001). The first minute Apgar's values were better in Stark group than values in traditional group. In Stark group the postoperative recovery times and complications are drastically reduced. Conclusions: Stark method of the cesarean section reduces short and long term maternal morbidity, reduces fetus extraction's time and total costs of surgery, without detracting from cosmetic advantages.