title: Closure vs non-closure of the visceral and parietal peritoneum at cesarean delivery: 16 year study.
abstract: OBJECTIVE
  To determine whether non-closure of visceral and parietal peritoneum at LSCS has advantages over peritoneal closure with regard to postoperative complication and adhesions.
  
  
  METHODS
  Prospective randomized controlled trial.
  
  
  METHODS
  Paholpolpayuhasena Hospital, Kanchanaburi province, Thailand
  
  
  METHODS
  Three hundred and sixty full-term pregnant women undergoing first cesarean section were divided into 3 groups (N = 120). Group A: non-closure of both visceral and parietal peritoneum. Group B. non-closure of only visceral peritoneum. Group C: closure of both visceral and parietal peritoneum. Postoperative complications were compared. Adhesions were evaluated in 65 patients returning for a second LSCS and compared for severity of adhesions. The three groups were compared using statistical analysis.
  
  
  RESULTS
  There was no significant statistical difference between group A and C, group B and C for postoperative complications or number of adhesion formation. However, adhesions in the closure group were more severe.
  
  
  CONCLUSIONS
  Closure of visceral and parietal peritoneum has no benefit over non-closure of visceral peritoneum and non-closure of both visceral and parietal peritoneum at LSCS.
authors.affiliation: Department of Obstetrics and Gynecology, Paholpolpayuhasena Hospital, Kanchanaburi, Thailand.
authors.forename: Waraporn
authors.initials: W
authors.lastname: Weerawetwat
authors.forename: Sayan
authors.initials: S
authors.lastname: Buranawanich
authors.forename: Manat
authors.initials: M
authors.lastname: Kanawong
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D008137:Longitudinal Studies; D010537:Peritoneum / Q000601:surgery*; D011183:Postoperative Complications; D011247:Pregnancy; D011446:Prospective Studies; D012720:Severity of Illness Index; D000267:Tissue Adhesions / Q000209:etiology / Q000517:prevention & control; D016896:Treatment Outcome