Comparative evaluation of the Misgav Ladach cesarean section with two traditional techniques. The first four years’ experience

Sir, The Misgav Ladach (M/L) technique for cesarean section has evoked great interest and enthusiasm in the recent issues. Ayresde-Campos and Patricio (1) have just commented on the detailed original description of this method published by Holmgren, Sjöholm and Stark (2) and they also gave some proposals for modifications. A prospective, randomized and controlled comparison with Pfannenstiel operation on 25 patients in each group was given by Darj and Nordström (3). With helping support of the above colleagues in Uppsala we were given the opportunity to learn both Stark’s original way and the ‘Uppsala modification’ of this method. Since then, March 1996, we have been able to get much experience on this operation with more than 650 patients. Prior to the introduction of M/L technique in our department we conducted a balanced practice of performing both the traditional lower midline incision (LMI) and the Pfannenstiel (PF) cesarean sections. Thus we had good reason to run a controlled, non-randomized comparative trial in