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International Journal of Gynecology & Clinical Practices Volume 4 (2017), Article ID 4:IJGCP-131, 7 pages
http://dx.doi.org/10.15344/2394-4986/2017/131
Original Article
The French Ambulatory Cesarean Section: Technique and Interest

Ami Olivier1,2*, Fauck Mathieu3, Simon Bénédicte4, Benhamou Richard1, Caraco Jean-Jacques2, Velemir Luka5, Manhes Hubert6, Menard Agnes2, Ravina Jacques Henri2 and Fauck Denis2

1Ramsay Générale de Santé, Clinique de la Muette, 46 rue Nicolo, 75016 Paris, France
2Clinique Sainte Thérèse, 9 rue Gustave Doré, 75017 Paris, France
3Centre hospitalier Robert Bisson – 4, rue Roger Aini, BP 97223, 14107 Lisieux, France
4Hôpital privé Versailles les Franciscaines, 7 Bis Rue de la Porte de Buc, 78000 Versailles, France
5Polyclinic Santa Maria, 57 Avenue de la Californie, 06200 Nice, France
6Polyclinique La Pergola, 75 allée des ailes, 03200 Vichy, France
Dr. Olivier Ami, Ramsay Générale de Santé, Clinique de la Muette, 46 rue Nicolo, 75016 Paris, France, Tel: +33 6 61 14 39 24, Tel: +33 1 78 76 78 52; E-mail: olivier.ami@cnpgo.org
19 March 2017; 20 September 2017; 22 September 2017
Olivier A, Mathieu F, Bénédicte S, Richard B, Jean-Jacques C, et al. (2017) The French Ambulatory Cesarean Section: Technique and Interest. Int J Gynecol Clin Pract 4: 131. doi: http://dx.doi.org/10.15344/2394-4986/2017/131

Abstract

Cesarean section is accompanied by an increased occurrence of post-surgical complications and postoperative pain, by an extended recovery time and delayed return the patient’s daily activities and by a not negligible raise in the cost of medical care if compared to vaginal delivery.

The French AmbUlatory Cesarean Section (FAUCS) technique described in this paper includes a paramedian vertical opening of the aponeurosis, left paravesical extraperitoneal approach of the uterus, a purse string suture of the uterine wall and a glue skin closure.

Of the 3441 procedures performed by 6 physicians between 1997 and 2017, 544 cases (16,28%) could be discharged within 24 hours.

The FAUCS procedure may issue in a significant diminution of morbidity, with a mean hospital stay duration of 3,1 days while the mean estimation of ability to be discharged was 1,3 days.