A RANDOMIZED CONTROLLED STUDY OF NON CLOSURE OF PERITONEUM AT CAESAREAN SECTION

Abstract

Context – Caesarean section is the most commonly performed intraperitoneal procedure in Obstetrics and Gynaecology. A study to

evaluate the benefits and disadvantages of non closure of peritoneum at caesarean section with regards to immediate postoperative morbidity is therefore necessary, considering how commonly the operation is performed.

Objective – To determine if non closure of peritoneum at lower segment caesarean section has advantages over suture peritonization with regards to postoperative morbidity.
Study Design – A prospective randomized study of 54 patients undergoing caesarean section was carried out. 27 were randomized to closure and 27 to non closure to visceral and parietal peritoneum. Management decisions were made without reference to treatment groups. Statistical analysis compared the outcome between the two groups.Results – Anaesthesia and operating times were significantly shorter in patients that had peritoneum left open. The incidence of febrile morbidity, wound infection, duration of postoperative and duration of hospital stay were not significantly different in both groups.

Conclusion – Non closure of peritoneum is associated with significantly reduced operation and anaesthesia time with a non significant trend for improved immediate postoperative outcome. Non closure of peritoneum should be adopted at caesarean delivery in well selected patients.

A RANDOMIZED CONTROLLED STUDY OF NON CLOSURE OF PERITONEUM AT CAESAREAN SECTION