Interpretation
Current guidelines from the Royal College of Obstetricians and
Gynaecologists and the Society of Obstetricians of Gynaecologists of
Canada(45), advise that surgical technique should depend on the
experience of, and be at the discretion of, the surgeon(46). The data
presented in this study suggest that a well-constructed randomised
control trial comparing surgical techniques is required. Until then,
both surgical techniques should continue to be taught to training
obstetricians. Individual circumstances will vary for each woman and the
final decision should be left to the discretion of the obstetrician.