What is a „Misgav-Ladach“ Method?
Description of the operation technique: skin layer is cut using a scalpel, under skin tissue is separated by stretching it with index fingers. Then muscle fascia is cut with scissors, after that muscle bellies of the straight abdominal muscles are separated by pulling. After a sharp opening of a Peritoneum with a short incision using a scalpel or scissors, it is also stretched with fingers. Then the cervix is opened with a short incision of a scalpel above the urinary bladder. The opening is extended with fingers and the baby is taken out.
After that, umbilical cord" is cut, and the placenta is removed. The wound on the cervix is now closed with a continuous stitch. Peritoneum as well as straight abdominal muscles are left open (opposite to a classical c-section). The muscle fascia is stitched with a continuous stitch, and the skin is closed with a suture.
This method is named after Misgav-Ladach-Hospital in Jerusalem, where Dr. Michael Stark established this technique.
Nerves and blood vessels that otherwise must be cut, remain intact. This accelerates healing process and the woman can leave the hospital within 5 days after the operation. Another advantage of the"Misgav-Ladach"-Method is a short duration of the surgery in comparison to a conventional c-section, protection of the blood vessels and a relatively low need of painkillers.
Which advantages the Misgav-Ladach-Section offers to a child in comparison to the conventional technique?
- Shortening of the length of the operation under general anaesthesia and therefore a lower contamination with anaesthetics
- The mother is more fit due to a faster healing process after the operation