Parietal peritoneal closure versus non-closure at caesarean section: which technique is feasible to perform?. (July 2013)

• Record Type: Journal Article
• Authors: Kiykac Altinbas, Sadiman; Cenksoy, Pinar; Tapisiz, Omer Lutfi; Beydilli, Gulay; Yirci, Bülent; Ercan, Önder; Dede, Suat; Kandemir, Omer
• Is Part Of: Journal of maternal-fetal & neonatal medicine. Volume 26:Number 11(2013:Nov.)
• Page Start: 1128
• Page End: 1131
• Publication Date: 2013-07
• Subjects: Obstetrics -- Periodicals; Perinatology -- Periodicals; Infants (Newborn) -- Diseases -- Periodicals; Neonatology -- Periodicals; 618.2
• DOI: 10.3109/14767058.2013.770458
• Languages: English
• ISSNs: 1476-7058

Abstract

<abstract> <title>Abstract</title> <p> <italic>Objective</italic>: To evaluate short-term effects of closure versus non-closure of the parietal peritoneum at caesarean section.</p> <p> <italic>Methods</italic>: A randomized controlled study of women undergoing caesarean section was conducted at the obstetrics department of a research and education hospital between October 2010 and May 2011. Patients were randomly assigned to have closure of parietal peritoneal layer (Group I, <italic>n</italic> = 55), and non-closure of parietal peritoneal layer (Control, Group II, <italic>n</italic> = 55). Intra-operative and post-operative outcomes were compared between the groups.</p> <p> <italic>Results</italic>: Groups were similar for baseline characteristics. Although there was statistically significant difference between Group 1 and Group 2 in terms of time to oral intake and mobilization time [12 (8–12) versus 8 (8–10) h; <italic>p</italic> < 0.001; 12 (8–12) versus 8 (8–10) h; <italic>p</italic> < 0.001]; the other variables, such as drop in hemoglobin concentration, estimate of blood loss, intra-operative additional sutures, operating time and time to passage of flatus [1.13 ± 0.86 versus 1.41 ± 0.82 g/dL; 487.9 ± 217.01 versus 544.87 ± 237.64 mL; 0 (0–1) versus 0 (0–1); 30.8 ± 7.63 versus 31.6 ± 10.38 h; 18.2 ± 6.04 versus 18.2 ± 4.23 h, <italic>p</italic> > 0.05] were not statistically different between Group 1 and Group 2.</p> <p> <italic>Conclusions</italic>: Closure of the parietal peritoneum has no benefit over non-closure of parietal peritoneum and non-closure is associated with rapid post-operative recovery.</p> </abstract>