A.A. KHASANOV^1, 4, I.S. RAGINOV^2, 4, L.E. TEREGULOVA^3, 4, A.YU. TEREGULOV^3, 4, M.B. LISINA⁴, M.R. SIRAZEEVA³

 ¹Kazan State Medical University, Kazan

²Kazan (Volga) Federal University, Kazan

³Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan

⁴Republic Clinical Hospital, Kazan

Contact details:

Khasanov A.A. — MD, Professor of the Department of Obstetrics and Gynecology nabbed after Prof. V.S. Gruzdev, Chief Specialist, Chief Researcher

Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7 (843) 236-06-52, e-mail: albirkhasanov@mail.ru

The article presents data on subfascial hematomas occurring in case of the Pfanennstiel incision. The frequency of hematomas increases in puerperas with coronavirus infection. The latest interim guidelines «Prevention, diagnosis and treatment of a new coronavirus infection (COVID-19) version 15 (02.22.2022)» indicate the need for «an emergency abdominal delivery (caesarean section) taking into account all measures for the prevention of coagulopathic and hypotonic obstetric bleeding». However, no specification is given as to which technique for performing a caesarean section should be followed and what operational access should be carried out for laparotomy of the anterior abdominal wall. Given own experience, the authors believe that under COVID-19, the incision in the anterior abdominal wall should be according to Joel — Cohan technique as the least traumatic and having the fewest post-operational complications. The authors propose methods for diagnosis and treatment of hematomas using highly selective angiography and embolization of damaged vessels. A clinical observation is presented as an example.

Key words: COVID-19 pandemic, Pfannenstiel incision, subfascial hematoma, X-ray endovascular embolization, Joel — Cohen incision.

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