Patient's question:
Because my surface skin is vertically incised. I heard that if the surface skin is vertical, then the uterine body is horizontally incised. Is this vertical incision of the surface skin considered the lower segment of the uterus? I am looking forward to your reply. Thank you!Doctor's answer:
The horizontal and vertical incisions of cesarean section are related to aesthetics. The horizontal incision follows the direction of skin tension lines, resulting in fewer scars after healing, better appearance, and relatively faster healing. The likelihood of uterine rupture is lower with a horizontal incision compared to a vertical one. The vertical incision is particularly quick to perform but is not aesthetically pleasing. After a horizontal incision, pubic hair can cover the scar, making it invisible. The horizontal incision is a more aesthetically pleasing surgical approach, but it takes longer to perform—it involves making horizontal cuts rather than the quick vertical cuts. However, when actually cutting into the uterus, the incision is always made in the lower segment of the uterus. In emergency situations, a horizontal incision may simply be impossible to perform.