1
Questionnaire concerning standardization and optimization of cesarean section technique
(first elective surgeries without myoma and complications)
Send please to e-mail: csquestions2015@gmail.com
1 Name/Surname(optional):
2 Affiliation:
3 Position:
Job length: ____________________years
4
Concerning Cesarean section: ____________________years
5 Address with postal code (optional):
6 е-mail address (optional):
7 Phone, mobile (optional):
8 Academic degrees (PhD/ScD), (memberships
/professor/AssocProf/ AssProf
9 Graduation year (MD):_________, Internship:______________Residentship:________________
10 PhD education:__________________; Postdoc Studies: _____________________
11 Postgraduate education total:________times; duration: 1 / 2 / 3 / 4 / 5 / 6 months
12 Certification degree: Higher / 1 / 2 / 3 / categories
13 When and where did you done the first CS (year and place):
14 Where did you learn CS (underline): at work; postgrad education courses; on-site education
15 Have you changed Yes Describe exact manipulation and when (year):
16 initial CS technique No
17 Approximately number of CS you have done at all ___________(in month:________year:_______)
Have you worked in night duties as principal, doctor on call: Yes / No
18 Number of CSs, planned CSs performed (in month: _______year:______),
urgent CSs (in month: ______year:_____)
Number of CSs in your hospital (maternity hospital) ___________
19
Planned CSs (in month:__________year:________) urgent CSs (in month: ________year:________)
20 Have you published articles (total):_____concerning CS________ Patents _____ Concerning CS_____
21 Do you keep strongly CS technique by Stark or other author:
22 Do you train young collegues in the operation room (by
Yes
23 which technique, author)
No
24 Do you follow guidelines concerning CS technique, mention
society, year
25
Yes WHO, Healthcare providers, Research
centers, Societies, Associations, Universities
No
26 Do you follow the CS technique described in manual books,
27 monographs, title, author, year
Do you get useful information concerning CS technique from
28
journal articles, reviews, or abstract books
29 Author, title, journal, year
30 Do you get useful information concerning CS technique from
the internet (indicate site or organization name, f.i.: WHO,
31
FDA
32 Do you feel benefits of your participation on professional
events concerning CS technique (mention organization and
33 year)
Yes
No
Yes
No
Yes
No
Yes
No
2
How often do read literature concerning CS:
Yes
Once a week, month, year, irregular, from time to time, very
occasionally, never,
35
No
What did you read last time? Title author, year
36 Do you use electrosurgery on CS?
Yes What is your opinion about?
37
No
38 Do you use argon beam coagulator to dry suture line or
Yes What is your opinion about?
surgical field?
39
No
34
63
64
In the right
side of the
parturient
62
Surgeon’s position
Electrosurgery
Sutures
Instrumental kit
40 Do you have publications concerning (Journal year)
Yes
41
No
42 Have you give lectures and/or presentations
Yes
Congresses, conferences, for physicians at PGE courses,
43
No
Places and years
How you perform CS mark appropriate points (1), or write your notices (2)
Вариации техники исполнения кесарева сечения:
1
44
Scalpel
45
Straight scissors with round tips
Abdominal speculum (Fritsch or a similar
46
one)
Needle holder
47
48
Toothed forceps (pincette);
49
Four straight peans
50
Two straight clamps for the umbilical cord
51
Farabev’s retractor
Polyglycolide or Polidioxanone based
stitching material (number 1:0) on big round
bodied needles should be used;
52
Polyglactide 910 with polyglactin 370 and
stearate calcium);
Other sutures (name)
53
Yes
Catgut or Chromic Catgut should not be in use
54
No
55
Electrocoagulation
Yes
56
No
57
Argon beam coagulator
Yes
58
No
59
Other coagulations technique
Yes
60
No
in order to easily extract the
61
baby’s head by the right hand
avoiding damage to the bladder,
when suturing the uterus
In the left site
Doesn’t matter: surgeons preference
2
3
66
67
68
69
70
71
The uterus should be transversely opened in
the lower segment after dissection of the
plicae vesico-uterinae and pushing the
bladder down
Do not dissect Plica vesica uterinea and do
not push down bladder
Retrocervical uterine opening in the lower
segment after dissection of the Plica vesica
uterinea and bluntly pushing bladder down
72
73
76
Uterine incision
74
75
77
78
87
Uterotonics
79
80
81
82
83
84
85
86
;
Laparotomy
65
The skin incision should be made
transversely, using a modified Joel Cohen
incision
Pfannenstiel incision
Cherney incision
Other
The parietal should be opened by repeated stretching
peritoneum rather than by sharp instruments
opening / Sharp incision:
incision
scalpel (Spl); scissors (Sci)
Antibiotics
Placenta
Opening uterine in the lower segment
without dissection of the Plica vesica
uterinea (upper dissection, than opening
line)
Small dissection by scissors 3-4 cm whole
uterine wall
Small dissection of the uterine wall 3-4 cm
with scalpel but not whole uterine wall with
further perforation of the uterus with
fingers
Small sharp dissection with further blunt
expansion till necessary size by Gusakov
Small sharp incision by scalpel with further
dissection by scissors till necessary size by
Derfler
Other technique (describe)
Oxytocin
I/V
I/M
Intramuscular injection (myometrium)
Before clamping of the cord
After clamping of the cord
The placenta should be delivered
spontaneously, and the uterus exteriorized
while stitching.
Spl
Sci
4
Abdominal wall wound closing
Peritonisation
Uterine wound closing
Controlled cord traction (WHO, strong
88
recommendation, moderate-quality
evidence)
89
Manual separation and delivery
90
The uterus should be sutured in continuous Yes
one layer using a big needle and in case of
persistent bleeding single stitches should be No
91
used.
92
Possible single stitches
Yes
93
No
94
Two layer suturing
Yes
95
No
Avoiding lower uterine segment
96
peritonisation by plicae vesico-uterinae
(viscerap peritoneum)
Possible lower uterine segment
97
peritonisation by plicae vesico-uterinae
(visceral peritoneum)
98
Avoiding parietal peritoneum suturing
Possible parietal peritoneum suturing:
99
a).Continuous suture
b).Single sutures
The abdominal muscle should not be
100
stitched
Approximated by few stitches or
101
continuous suture
An approximation of fascia should be done
102
by continuously suturing
The fascia can be closed with interrupted
103
single sutures.
The subcutaneous fatty tissue should not be
104
stitched
The subcutaneous fatty tissue should be
105
stitched by single sutures especially in obese
women
The skin should be closed with a minimal
106
number of stitches to enable good drainage
Cosmetic continuous suture with very small
107
(diameter 5/0,6/0)
108 Postsurgical Early mobilization and hydration should be Yes
encouraged
care
109
No
110
Yes
The skin-to-skin contact of mother and
Breast feeding
newborn.
111
No
Send please to e-mail: csquestions2015@gmail.com