A Prospective Study on Non-closure and Closure of Visceral and Parietal Peritoneum During Caesarean Section
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Caesarean section is the most common surgery performed in Obstetrics and is some times associated with the morbidity. The present study was conducted to assess the short term morbidity of non-closure of the visceral and parietal peritoneum at caesarean section as compared to suturing of peritoneum. Materials and Methods: A prospective study of two hundred women undergoing caesarean section was done; randomised into non-closure and closure groups. Preoperative, intra-operative and postoperative details were observed. Results: Operating time, anaesthesia time and time of ambulation were significantly shorter in non-closure group. There was less postoperative pain, analgesic requirement and febrile morbidity in non-closure group. However, it was statistically not significant. Conclusion: Non-closure of the visceral and parietal peritoneum is a simpler operative technique, more cost-effective, associated with fewer postoperative complications and lower febrile morbidity and provides a shorter surgical procedure. Hence, routine closure of peritoneum at caesarean can be avoided.
Authors and Affiliations
H. C. Savitha, C. Sanjay Kumar, M. S. Sowmya
Keywords
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