Vaginal Caesar section in the true sense of the word Prof. N. M. Kakushkin (Doctor Gaz., 1924, No. 2)

Prof. NM Kakushkin (Doctor. Gaz., 1924, No. 2) made sure that the dissection of the cervix during the operation of a vaginal caesar section is both unnecessary and even harmful, but that the uterus should be emptied by the vaginal route, opening its cavity only in the area of ​​her body. The operation is performed on a trace, arr .: having made a transverse or T-shaped incision in the anterior fornix, the operating one exfoliates the bladder from the uterine neck, opens the abdominal cavity, protects the bladder with a lifter, makes a small longitudinal incision in the midline of the uterine body, captures the edges of the incision with two teeth, tightens the opening closer to the vaginal lumen, lengthens the incision towards the bottom of the uterus with a knife or scissors, extracts the fetus with two or three fingers inserted into the uterus, first the fetus, then the afterbirth, scrapes out the cavum uteri with a spoon to remove the falling membrane, then sutures the uterine wound, peritoneum and fornix.