Effects of Closure vs Non-Closure of the Visceral and Parietal Peritoneum at Cesarean Section: A Prospective Randomized Study
Objective: To determine the effect of closure and non-closure of the visceral and parietal peritoneum during cesarean section on short-term postoperative morbidity.Subjects and Method : A prospective randomized trial was conducted of 398 women undergoing primary cesarean section;19...
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| Format: | Article |
| Language: | English |
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The Royal Thai College of Obstetricians and Gynaecologists
2012-09-01
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| Series: | Thai Journal of Obstetrics and Gynaecology |
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| Online Access: | https://tci-thaijo.org/index.php/tjog/article/download/2951/2821/ |
| Summary: | Objective: To determine the effect of closure and non-closure of the visceral and parietal peritoneum during cesarean section on short-term postoperative morbidity.Subjects and Method : A prospective randomized trial was conducted of 398 women undergoing primary cesarean section;191 were classified as a closure and 207 as a non-closure of the peritoneum group in Trang Hospital, Trang province, Thailand. Perioperative outcome measures,such as analgesia dosage and morbidity measures were compared.Result :There was no significant difference between the non-closure and closure groups in the mean narcotic analgesia doses (1.09+ 1.2 vs 1.05+ 1.0, p = 0.63), mean non-narcotic analgesia doses (4.69 + 2.7 vs 4.65 + 2.8, p = 0.89), number of postoperative fever > 38°C (14 vs 11, p = 0.37), number of wound infection (22 vs 26, p = 0.54) and mean of hospitalization days (4.16 + 0.91 vs 4.14 + 0.71, p = 0.78).Conclusions: Closure or non-closure of the peritoneum at cesarean section has no significant impact on postoperative analgesic usage and short-term morbidity. |
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| ISSN: | 0857-6084 0857-6084 |