Modified stark procedure for caesarean section. First Italian experience

A. G. Ferrari, L. Frigerio, G. Candotti, M. Origoni, A. Mariani, M. Petrone

Research output: Contribution to journalArticlepeer-review


Objective: To assess the validity of a modified Stark procedure for caesarean section, based on anatomical principles and the elimination of unnecessary surgical steps. Methods: The surgical outcome of 127 cases submitted to this procedure was compared to 95 traditional caesarean sections. We analysed total operating time, fetal extraction time, surgical material consumption, maternal blood loss, postoperative febrile morbidity and recovery in both groups. Results: Mean total operating time was 19.4 min (range 11-28) in the Stark cases and 51.7 min (range 33-80) in the control group (p <0.001). Fetal extraction time was also reduced in the Stark technique: mean time was 3.2 min (range 1-7), while in the traditional procedures it was 6.5 min (range 2-18) (p <0.001). Among the Stark cases a mean of 3.5 threads was used (range 3-6), while in the control group 9.2 (range 6-19) (p <0.001). Maternal blood loss, postoperative febrile morbidity and recovery were significantly improved in the group submitted to the modified Stark procedure. Conclusions: The theoretical background of the innovative Stark procedure seems to be confirmed by our results: the Stark procedure is associated with a significant reduction of morbidity and an improved outcome.

Original languageEnglish
Pages (from-to)95-102
Number of pages8
JournalItalian Journal of Gynaecology and Obstetrics
Issue number3
Publication statusPublished - 1997


  • Caesarean section
  • Laparotomy
  • Obstetric surgery
  • Surgical morbidity

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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