Nonclosure of the peritoneum during caesarean section: long-term follow-up of a randomised controlled trial.
OBJECTIVE
To compare long-term morbidity of nonclosure and closure of the peritoneum at caesarean section.


METHODS
Participants to a randomised controlled trial were contacted 7 years later. Outcome measures were assessed by a postal questionnaire and reports of subsequent operations.


RESULTS
We were able to contact 226 of the 280 women recruited initially, and 144 responded to the questionnaire. Sixty-nine had been allocated to nonclosure of the peritoneum and 75 to closure. Baseline characteristics at randomisation were comparable both between the respondents and the non-respondents, and between originally allocated groups. No statistically significant difference was found between the two groups regarding fertility, abdominal pain, and urinary symptoms. Among 29 reports of subsequent abdominal surgery, 14 mentioned the presence of adhesions (8 in the nonclosure and 6 in the closure group; P=0.47). The number of women reporting at least one significant morbidity was similar between groups (24 in the nonclosure and 19 in the closure group; P=0.72).


CONCLUSIONS
Nonclosure and closure of the peritoneum at caesarean section result in similar long-term morbidity.
Roset
Edith
E
Unité de Développement en Obstétrique, Departement of Obstetrics and Gynecology, Hopitaux Universitaires de Genève, University of Geneva, CH-1211 Geneva 14, Switzerland.
Boulvain
Michel
M
Irion
Olivier
O
D015746:Abdominal Pain; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female / Q000453:epidemiology; D010537:Peritoneum / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011795:Surveys and Questionnaires; D000267:Tissue Adhesions / Q000453:epidemiology; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000453:epidemiology