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Rotation of the uterus to obtain a lower transverse incision in the posterior wall in a cesarean section: a case report and literature review

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posted on 2023-05-26, 02:40 authored by Xi Tan, Aiyun Xing, An Tong

To demonstrate that cesarean section with a transverse incision at the lower posterior wall of the uterus is suitable for some special obstetric cases.

A 35-year-old primigravida with a previous surgical history of laparoscopic myomectomy underwent elective cesarean section at 39 weeks and 2 days of gestation. During surgery, there were severe pelvic adhesions and engorged vessels on the anterior wall. Considering safety, we rotated the uterus 180 degrees and made a lower transverse incision on the posterior wall. The infant was healthy and the patient had no complications.

A low transverse incision in the posterior uterine wall is safe and effective when the incision of the anterior wall encounters a dilemma, especially in patients with severe pelvic adhesions. We recommended this approach should be done in selected cases.


The author(s) reported there is no funding associated with the work featured in this article.