Closure vs non-closure of the visceral and parietal peritoneum at cesarean delivery: 16 year study.
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.
Weerawetwat
Waraporn
W
Department of Obstetrics and Gynecology, Paholpolpayuhasena Hospital, Kanchanaburi, Thailand.
Buranawanich
Sayan
S
Kanawong
Manat
M
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