Non closure of parietal peritoneum at cesarean section and adhesion formation

Choudhary, Anjali; Bansal, Neeta

doi:10.5455/2320-1770.ijrcog20130929

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…In contrast to this result, Rafique et al (6) did not show any significant difference regarding length of post-operative hospital stay between the closure and non-closure groups. On the other hand, Choudhary et al (12) showed decreased postoperative hospital stay in the closure group because it depends on the technique of the previous CS, which was not included in our study.…”

Section: Discussionmentioning

confidence: 70%

“…On the other hand there was no statistically significant difference regarding the pain degree and the analgesia requirements. In the study by Choudhary et al (12) the non-closure group had more postoperative pain because of the presence of adhesions due to nonclosure of peritoneum during primary CS, our study was deficient in the history of previous CS technique.…”

Section: Discussionmentioning

confidence: 78%

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Short Term Outcome of Closure or Non-Closure of Peritoneum in Caesarian Section

Ali¹,

Ibrahim²,

Abdel-Aziz³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Cesarean section (CS) can be considered as one of the most frequently performed surgical procedure worldwide, accounting for up to 70% of deliveries, depending on the facility being assessed and the country involved. In Egypt its rate reach about 51.8% from deliveries. Objetive: To compare closure versus non-closure of visceral and parietal peritoneum during primary cesarean section regarding early postoperative outcome. Patients and Methods: A randomized-controlled study that was conducted at Ismailia General Hospitals during the period from November 2018 to March 2019. Included 142 pregnant women attending Obstetrics and Gynecology Department for primary cesarean section who were divided into two groups. Group I (Control) 71 patients with closure of both the visceral and parietal peritoneum (Study) 71 patients with non-closure of both the visceral and parietal peritoneum. Patients were assessed for intra-operative parameters including operation time. Postoperatively, patients were assessed for pain degree, distention, fever, regain of intestinal sound, wound infection and duration of hospital stay. Results: There was statistically significant difference between both groups regarding age, BMI, parity, gestational age and type of CS. Non-closure technique of both visceral and parietal peritoneum in CS is associated with shorter operation time, less postoperative pain score, rapid regain of intestinal motility and less duration of hospital stay. Conclusion: Non-closure of both visceral and parietal peritoneum at CS is associated with less operative time, less postoperative pain and distention and wound infection hence routine closure of peritoneum at CS can be avoided.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 78%

Short Term Outcome of Closure or Non-Closure of Peritoneum in Caesarian Section

Ali¹,

Ibrahim²,

Abdel-Aziz³

et al. 2021

The Egyptian Journal of Hospital Medicine

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“…They observed more blood loss and postoperative periods were turbulent with longer hospital stays in these patients. 11 Lyell et al found that parietal peritoneal closure at primary caesarean delivery was 5fold protective against all adhesions and 3-fold protective against dense adhesions. 12 Thereby confirming long term better outcome in CG.…”

Section: Discussionmentioning

confidence: 99%

A prospective randomized controlled study comparing short-term outcomes of closure and non-closure of peritoneum during elective caesarean section

Prabhu

Prasad

Mishra

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: There is a rising trend of caesarean deliveries worldwide. Although a very commonly performed abdominal surgery, there is no ideal operative procedure in the literature. Several studies compared short term and long-term outcomes of closure and non-closure of peritoneum, but there is no consensus whether either procedure is beneficial to patients. Variability of results may be due to bias involved in these studies as two groups compared had different characteristics (including obstetrics and non-obstetrics laparotomies, elective and emergency caesareans, Pfannenstiel as well as vertical incisions; in the same study) which are likely to affect short term outcomes besides those due to peritoneal closer and non-closure. Aims and objectives of the study were to perform an unbiased assessment of short-term outcomes in elective LSCS in unscarred abdomens by Pfannenstiel incisions between closure (CG) and non-closure of peritoneum (NCG).Methods: Prospective randomised controlled study method used in the study.Results: The operating time was significantly more (p=0.01) with difference of additional 10 minutes in CG with standard error of mean for time being 3.7688. Pain score was more in CG on post-operative day 1 and 2 (p=0.0003 and 0.008 respectively). Additional anaesthesia and analgesia were not needed in this group.Conclusions: Apart from operative timing and pain score in early post-op period, there was no significant difference in short term outcomes between CG and NCG during elective caesarean section. Hence only long-term effects of these procedures need to be considered prior to recommending ideal steps of elective caesarean section procedure.

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“…A 2% lignocaine hydrochloride (Netagi, Mumbai, India) was administered at 10 mg/kg subcutaneously in inverted "L" technique; 3 cm caudal and dorsal to the initial left-oblique-laparotomy, where incision was made for the gross examination of the initial laparotomy incision sites, for tissue adhesions and other post-operative complications. The adhesion was scored grade 0, 1, 2 and 3 as none, mild, moderate and severe adhesion respectively (Table I) based on the severity and percentage of goats involved according to Choudhary and Bansal (2013). The omentopexy was removed, the laparotomy closed in standard procedure (Kersjes et al,.…”

Section: Clinical Assessmentmentioning

confidence: 99%

The complications of wound healing on two laparotomy closure techniques in West African Dwarf (WAD) goats undergoing omentopexy

Onah¹,

Ukwueze²,

Eze³

2019

Nig. Vet. J.

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Researchers differ on the complications of wound healing using different laparotomy closure techniques. This study investigated the complications of wound healing when peritoneum was and when it was not incorporated in laparotomy closure in omentopexed WAD goats. Twenty WAD bucks were assigned into four groups. Left-flank-oblique-laparotomy was performed in all the goats. In group A goats, the peritoneum was incorporated in the internal abdominal oblique muscle sutures during laparotomy closure. In group B goats, the peritoneum was not incorporated in the muscle sutures during laparotomy closure. In groups C and D, omentopexy was performed and the laparotomy incision closed as in groups A and B respectively. On post-surgery-day (psd) 14, laparotomy was performed in 4 goats from each group, caudal to the initial left oblique-laparotomy, for examination of the sites for tissue adhesions. Serosanguinous exudation observed in goats in groups A and C stopped on psd 6 while that of groups B and D stopped on psd 8. The severity of behavioural signs of pain in each group was recorded using Numerical Rating Scale. Peritoneum-omentum and muscle-omentum adhesions were observed in 50% of goats in group B. 100% and 25% of goats in group C had peritoneum-omentum and rumen-peritoneum adhesion respectively. In group D, 100% of the goats showed peritoneum-omentum adhesion while 50% exhibited other complicated rumen adhesions. In conclusion, incorporating peritoneum into muscle sutures during laparotomy closure in omentopexed WAD bucks has less complications of wound healing than when the peritoneum is not incorporated in the muscle sutures.

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Non closure of parietal peritoneum at cesarean section and adhesion formation

Cited by 4 publications

References 7 publications

Short Term Outcome of Closure or Non-Closure of Peritoneum in Caesarian Section

Short Term Outcome of Closure or Non-Closure of Peritoneum in Caesarian Section

A prospective randomized controlled study comparing short-term outcomes of closure and non-closure of peritoneum during elective caesarean section

The complications of wound healing on two laparotomy closure techniques in West African Dwarf (WAD) goats undergoing omentopexy

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