Background: Cesarean section is now the most common major surgical procedure\nperformed on women worldwide. With the increasing numbers of cesarean\nsections, there is the need to utilize evidence based techniques to optimize\noutcomes and minimize complications. We hypothesize that omission\nof the bladder flap in both primary and repeat cesarean sections will be associated\nwith shorter operating time without a significant increase in intraoperative\nand postoperative complications. Methods: 550 patients were enrolled\nin the study. They were randomly allocated in the 2 groups to evaluate the effects\nof cancelling the bladder dissection. Results: Significant reduction of the\ntotal operating time (p = 0.01), skin to delivery time (p = 0.02) and micro-\nhematuria (p = 0.01) in group with bladder omission. Long term result :\nIncluding more bladder adhesion and fibrosis in the cases with bladder dissection.\nConclusions: Omission of the bladder dissection achieved short-term\nadvantages as regards reduction of operating time, incision-delivery duration\nand decreased blood loss as well as long-term effects include different in the\nbladder adhesion.
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