NONCLOSURE OF PERITONEUM
A COMPARITIVE TRIAL
DOI:
https://doi.org/10.29309/TPMJ/2018.25.03.366Keywords:
Caesarean Section, Closure of Parietal Peritoneum, Non- Closure of Parietal Peritoneum, Postoperative AnalgesiaAbstract
Introduction: This study reflects the comparison between closure Vs nonclosure
of peritoneum during Caesarian section. Objectives: The aims of study are: 1. To make
a comparative trial between closure versus nonclosure of peritoneum during cesarean section.
2. To know the requirement of postoperative analgesia in each group of patients. Study Design:
A randomized controlled trial. Setting: Department of Obstetrics and Gynaecology, Arar Central
Hospital, North Zone, Kingdom of Saudi Arabia. Duration of Study with Dates: The duration
of study was six months from 02-07-2012 to 01-01-2013. Subjects and Methods: A total of
170 patients (85 in each group) were included in this study. Parietal peritoneum was closed
using a continuous absorbable suture in closure group. In non-closure group both layers were
remained unsutured. Results: Both groups of patients had equal availability of analgesia, but
the women in the non closure group used significantly less mean number of narcotic analgesic
doses during the first 24 hours after cesarean section. Besides, the operation time and exposure
to anesthesia was found less in the non-closure group. Conclusion: Non-closure of peritoneum
at caesarean section produces a significant reduction in postoperative analgesic requirement.
