Introduction
muscular contractions, bleeding, hematomas, hematoma
CLOT, BLEEDING, HEMATOMAS, HEMATOMA
Cesarean deliveries are the most common major surgical procedures performed on women globally, and their prevalence rate is gradually increasing in both developed and developing nations [Regarding the inferior epigastric artery (IEA) tear, it is vulnerable to damage during powerful muscular contractions because of its loose attachment and solid, fixed muscle perforating branches. This explains the higher incidence of RSH occurring in the lower abdomen. On the contrary, bleeding from the superior epigastric artery (SEA) tear usually results in a small hematoma tamponaded by the rectus sheath. Moreover, hematomas induced by IEA tears are less confined because of the anatomical lack of the posterior rectus sheath below the arcuate line of Douglas that may spread outside the midline and posteriorly [Anticoagulant medications are an undeniable risk factor for RSH and may be the most common [Tranexamic acid is a synthetic lysine derivative that suppresses fibrinolysis and clot degradation by attaching to the lysine binding site on plasminogen. It competitively inhibits plasminogen’s enzymatic conversion to plasmin, but at higher concentrations, it acts as a non-competitive inhibitor of plasmin [Topical hemostatic agents can be used as an aide or even an alternative to standard surgical techniques to control bleeding from surgical surfaces. They are principally valuable in instances of diffuse nonanatomic bleeding, bleeding related to delicate structures, and bleeding in patients with abnormalities in hemostasis [Gelatin Sponge is a topical hemostatic intended for application to bleeding surfaces. It is a hydrocolloid synthesized from partial acid hydrolysis of porcine-derived collagen. The gelatin sponge has the capacity to absorb blood or fluid up to 40 times its weight, and it can expand up to 200 percent in its dimensions [This randomized controlled trial aims to illustrate the impact of applying the tranexamic acid impregnated in a gelatin sponge between the anterior rectus sheath and the Rectus Abdominis muscle during Cesarean section (CS) in minimizing RHS in women treated with Warfarin.