COMPARISON OF PERITONEAL CLOSURE VERSUS NON-CLOSURE DURING CAESAREAN SECTION

Authors

  • Amera Takreem

Abstract

Background: In modern obstetrics caesarean sections are commonly used and in all caesarean sections either peritoneal closure is done or not. This cases series was conducted to record outcomes in our setup. Methods: Cases of caesarean sections were followed for adhesions and non-adhesions in peritoneal closure and non-closure cases from 1st January to December 2011 at DHQ Hospital Haripur. In non-peritoneal closure cases adhesions were marked as compare to non-adhesions in peritoneal closure cases. Results: Sixty-five cases of peritoneal closure and 30 cases of non-peritoneal closure were followed up. There were more cases of adhesions in non-closure group (p<0.05). Conclusion: Peritoneal closure is beneficial in routine caesarean sections.Keywords: Adhesions, Caesarean sections, peritoneal closure, peritoneal non closure

References

Anjali Choudhary, Neeta Bansal, Int Reprod Contracep Obstet Gynecol 2013;2(3):406–9

Bigatti G, Boeckx W, Gruft L. Experimental model for neoangiogenesis in adhesion formation. Human Reprod 1995;10:2290–4.

Cheong YC, Laird SM, Shelton. JB. To close or not to close? A systematic review and a meta-analysis of peritoneal non-closure and adhesion formation after caesarean section. Eur J Obstet Gynecol Reprod Biol 2009;147:3–8.

Di Zerega GS. Contemporary adhesion prevention. Fertile Sterility 1994;61:219–35.

Di Zerega GS, Campeau JD. Peritoneal repair and post-surgical adhesion formation. Human Reproduction Updates 2001;7:547–55

Ellis H. The clinical significance of adhesions: Focus on intestinal obstruction. Eur J Surg Suppl 1997;577:5–9.

Krebs HB. Mechanical intestinal obstruction in patients with gynecologic disease: A review of 368 patients. Am J Obstet Gynecol 1987;157:577–83.

Levrant SG, Bieber EJ. Anterior abdominal wall adhesions after laparotomy or laparoscopy. J Am Assoc Gynecol Laparoscop 1995;4:353–6

Shakeel S. Peritoneal non-closure at caesarean section- A study of short term post-operative morbidity. Pak Armed F Med J 2008;30:9648.

Lyell DJ, Chaughey AB, Daniels K. Peritoneal closure at primary caesarean delivery and adhesions. Obstet Gynecol 2005;106(2):275–80.

Praveen Kumar. Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery. Fertility and Sterility 2008;144–9.

Stricker B, Blanco J, Fox HE. The gynecologic contribution to intestinal obstruction in females. J Am Colorect Surg 1994; 178:617–20.

Tulandi T, Murray C, Guralnick M. Adhesion formation and reproductive outcome after myomectomy and second-look laparoscopy. Obstet Gynecol 1993;82:213–5.

Zareian Z, Zareian P. Non-closure versus closure of peritoneum during caesarean section: a randomized study. Eur J Obstet Gynecol Reprod Biol 2006;128(1-2):2

Downloads

Published

2015-03-01