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Issue: No. 95 (2026)
Section: Article
DOI: 10.58490/ctjump.2026i95.4228
Date Published: 25/02/2026
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Nguyen, V. H., & Doan, T. D. (2026). EARLY OUTCOMES OF EXTRAPERITONEAL CESAREAN SECTION IN PARTURIENTS WITH A PRIOR CESAREAN SECTION. Cantho Journal of Medicine and Pharmacy, 95, 8-15. https://doi.org/10.58490/ctjump.2026i95.4228

EARLY OUTCOMES OF EXTRAPERITONEAL CESAREAN SECTION IN PARTURIENTS WITH A PRIOR CESAREAN SECTION

Van Hung Nguyen1, , Thanh Dien Doan2
1 Long Xuyen City Hospital
2 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Extraperitoneal cesarean section is a minimally invasive technique that may reduce postoperative complications; however, evidence in parturients with a prior cesarean section in Vietnam remains limited. Objectives: To evaluate early outcomes of extraperitoneal cesarean section in parturients with a prior cesarean section. Materials and methods: A descriptive cross-sectional study was conducted on 68 parturients with a prior cesarean section who underwent extraperitoneal cesarean section at Long Xuyen City Hospital from May 2018 to May 2020. Results: The mean operative time was 47.2 ± 7.1 minutes (range: 32–68 minutes) with a median blood loss of 300 mL (IQR: 250–450 mL). No bladder injuries or technical failures were recorded; peritoneal entry occurred in 2.9% of cases. Pain scores (VAS) decreased from 6.2 ± 0.7 at 6 hours to 2.4 ± 0.9 at 18 hours postoperatively. Mean time to first flatus was 9.5 ± 0.9 hours and mean hospital stay was 7.1 ± 1.2 days. Mean Apgar scores were 8.4 ± 0.6 at 1 minute and 9.2 ± 0.5 at 5 minutes. Conclusion: Extraperitoneal cesarean section is a safe and feasible technique in parturients with a prior cesarean section, providing favorable early maternal and neonatal outcomes when performed by experienced surgeons. 

Keywords

Cesarean section, repeat cesarean section, extraperitoneal cesarean section, treatment outcome, Apgar score

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