[Changes in the methods of cesarean section].
OBJECTIVE
To evaluate the effects of leaving the visceral peritoneum open and hysterotomy closing by a one-layer continuous locked.


METHODS
The analysis of 868 women underwent caesarean section had been performed. All operated patients were divided into three compared groups. 268 women operated between 01.05.96 and 31.01.97, belonged into I group, which had the visceral peritoneum sutured during caesarean section, in comparison to the II group operated between 01.05.97-31.01.98 (n = 280), which had only one modification in surgical procedure--the visceral peritoneum was left unsutured and to the group operated between 01.05.98-31.01.99 (n = 320) with second modification--the hysterotomy was closed by a one-layer continuous locked.


RESULTS
The average operating time was significantly shorter at group II and III. After surgery we have not observed significant differences in frequency of febrile morbidity (6.34% in I group, 8.93% in second group and 8.44% in third group) and postoperative complications (respectively 9.33; 11.07 and 10.63%).


CONCLUSIONS
Non-closure of the visceral peritoneum and closure of the hysterotomy by a one-layer continuous locked has no influence on the number of the post surgical complications. Modifications method of cesarean section showed significantly decreased operative time and chirurgical materials use.
Lach
J
J
Oddziału Połoznictwa i Patologii Ciazy Szpitala Miejskiego im. dr. E. Warmińskiego w Bydgoszczy.
Marcinkowski
Z
Z
Marcinkowski
R
R
Lisiak
M
M
D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy