Objectives This article suggests a unified way to perform Cesarean sections. Even in the same departments, different modifications are in use. Therefore, one cannot rely on the early or late outcome of the procedure as long as all the surgical steps are not standardized. Methods The Misgav Ladach (Stark) Cesarean Section presented here is an evidence-based operation. Its basic principles are a modified Joel-Cohen abdominal incision, one-layer continuous suturing of the uterus using a big needle, leaving peritoneum open, closing fascia continuously and a few Donati skin sutures. Results This method has been subjected to scores of comparative studies with other methods in use, proving its advantages over them concerning duration, blood loss, febrile morbidity, need for analgesics, and costs. Conclusions It is suggested that this method should be used as the standardized universal method which will enable comparison between obstetricians and institutions, and offer the parturient the best possible outcome.

中文翻译：

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建议普遍使用的循证剖宫产

目标 本文建议采用统一的方式进行剖宫产。即使在同一个部门，也在使用不同的修改。因此，只要所有的手术步骤都没有标准化，就不能依赖手术的早期或晚期结果。方法 这里介绍的 Misgav Ladach (Stark) 剖宫产是一种循证手术。其基本原理是改良的 Joel-Cohen 腹部切口，用一根大针连续缝合子宫一层，使腹膜打开，连续闭合筋膜和几条 Donati 皮肤缝合线。结果 该方法已与其他使用方法进行了数十次比较研究，证明了其在持续时间、失血量、发热发病率、镇痛药需求和成本方面的优势。