臨床婦人科産科76巻12号

2022年12月発行

今月の臨床 帝王切開分娩のすべて―この1冊でわかるNew Normal Standard 術式の工夫

子宮筋層の切開法―切開部位・切開方法と胎児損傷回避の方策

著者： 野田佳照¹ 関谷隆夫¹

所属機関： ¹藤田医科大学医学部産婦人科学講座

ページ範囲：P.1188 - P.1195

●子宮切開法の種類とバリエーションを理解する．

●標準術式としての子宮下部横切開法の意義と，切開の3つのポイントを理解する．

●胎児損傷を回避するための方策を理解する．

参考文献

1）関谷隆夫，他 : 帝王切開術式の工夫―帝王切開法．周産期医学46 : 1085-1090, 2016

2）プロメテウス解剖学図譜　胸部/腹部・骨盤部，第2版．pp312-313，医学書院，2015

3）武谷雄二，他 : Ⅵ子宮筋の形態と機能，B子宮筋の組織学．新女性医学大系1巻性器の発生・形態・機能．pp168-192，中山書店，2001

4）The Uterus. Human Anatomy.　http://www.theodora.com/anatomy/the_uterus.html（最終閲覧日 : 2022年9月9日）

5）http://www.glowm.com/section_view/heading/Clinical Anatomy the Uterus, Fallopian Tubes,and Ovaries/item/l

6）American College of Obstetricians and Gynecologists : Vaginal birth after previous cesarean delivery. ACOG practice bulletin no.5.Washington,1999

7）Chauhan SP, et al : Pregnancy after classic cesarean delivery. Obstet Gynecol 100 : 946-950, 2002

8）Dodd JM, et al : Surgical techniques for uterine incision and uterine closure at the time of cesarean section. Cochrane Database Syst Rev 2 : CD004732, 2014

9）Koike T, et al : Uterine leiomyoma in pregnancy : its influence on obstetric performance. J Obstet Gynecol Res 25 : 309-313, 1999

10）Vergani P, et al : Large uterine leiomyomata and risk of cesarean delivery. Obstet Gynecol 109 : 410-414, 2007

11）Hiramatsu Y : Cesarean section in patients with myomas located on the auterior wall of the cervix. Surg J 6 : S122-S128, 2020

12）Pergialiotis V, et al : Perioperative complications of cesarean delivery myomectomy : a meta-analysis. Obstet Gynecol 130 : 1295-1303, 2017

13）Sheiner E, et al : Obstetric characteristics and perinatal outcome of pregnancies with uterine leiomyomas. J Reprod Med 49 : 182-186, 2004

14）Ward CR : Avoiding an incision through the anterior previa at cesarean delivery. Obstet Gynecol 102 : 552-554, 2003

15）Kotsuji F, et al : Transverse uterine fundal incision for placenta praevia with accrete, involving the entire anterior uterine wall : a case series. BJOG 120 : 1144-1149, 2013

16）Nishida R, et al : Usefulness of transverse fundal with placentas widely covering the entire anterior uterine wall. J Obstet Gynaecol Res 39 : 91-95, 2013

17）西島浩二 : 第3章子宮底部横切開法．吉田好雄（監修） : 帝王切開の強化書―Kaiserを極める．pp65-106，金原出版，2017

18）Tuuli MG, et al : Utility of the bladder flap at cesarean delivery : a randomized controlled trial. Obstet Gynecol 119 : 815-821, 2012

19）Shukunami K, et al : A very low transverse uterine incision. Eur J Obstet Gynecol Reprod Biol 126 : 269-270, 2006

20）小辻文和，他 : 帝王切開創癒合不全の対策―筋創切開面を正しく合わせるために．櫻木範明（編） : OGS NOW 4産科手術―必須知識の完全マスター．pp98-105，メジカルビュー社，2010

21）Shahin AY, et al : Does visceral peritoneal closure affect post-cesarean urinary symptoms? A randomized clinical trial. Int Urogynecol J 21 : 33-41, 2010

22）Dahlke JD, et al : Evidence-based surgery for cesarean delivery : an updated systematic review. Am J Obstet Gynecol 209 : 294-306, 2013

23）Xu LL, et al : Blunt vs sharp uterine expansion at lower segment cesarean section delivery : a systematic review with meta-analysis. Am J Obstet Gynecol 208 : 62.e1-62.e8, 2013

24）Cromi A, et al : Blunt expansion of the low transverse uterine incision at cesarean delivery : a randomized comparison of 2 techniques. Am J Obstet Gynecol 199 : 292.e1-292.e6, 2008

25）Xodo S, et al : Cephalad-caudad versus transverse blunt expansion of the low transverse uterine incision during cesarean delivery. Eur J Obstet Gynecol Reprod Biol 202 : 75-80, 2016

26）Baskett TF, et al : Fatal trauma in term pregnancy. Am J Obstet Gynecol 197 : 499.e1-499.e7, 2007

27）Alexander JM, et al : Fetal injury associated with cesarean delivery. Obstet Gynecol 108 : 885-890, 2006

28）Waterfall H, et al : Techniques for assisting difficult delivery at caesarean section. Cochrane Database Syst Rev 2016 : CD004944, 2016