Parietal peritoneal closure versus non-closure at caesarean section: which technique is feasible to perform?
OBJECTIVE
To evaluate short-term effects of closure versus non-closure of the parietal peritoneum at caesarean section.


METHODS
A randomized controlled study of women undergoing caesarean section was conducted at the obstetrics department of a research and education hospital between October 2010 and May 2011. Patients were randomly assigned to have closure of parietal peritoneal layer (Group I, n = 55), and non-closure of parietal peritoneal layer (Control, Group II, n = 55). Intra-operative and post-operative outcomes were compared between the groups.


RESULTS
Groups were similar for baseline characteristics. Although there was statistically significant difference between Group 1 and Group 2 in terms of time to oral intake and mobilization time [12 (8-12) versus 8 (8-10) h; p < 0.001; 12 (8-12) versus 8 (8-10) h; p < 0.001]; the other variables, such as drop in hemoglobin concentration, estimate of blood loss, intra-operative additional sutures, operating time and time to passage of flatus [1.13 ± 0.86 versus 1.41 ± 0.82 g/dL; 487.9 ± 217.01 versus 544.87 ± 237.64 mL; 0 (0-1) versus 0 (0-1); 30.8 ± 7.63 versus 31.6 ± 10.38 h; 18.2 ± 6.04 versus 18.2 ± 4.23 h, p > 0.05] were not statistically different between Group 1 and Group 2.


CONCLUSIONS
Closure of the parietal peritoneum has no benefit over non-closure of parietal peritoneum and non-closure is associated with rapid post-operative recovery.
Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital, Ankara, Turkey. sadimanaltin@gmail.com
Sadiman Kiykac
SK
Altinbas
Pinar
P
Cenksoy
Omer Lutfi
OL
Tapisiz
Gulay
G
Beydilli
Bülent
B
Yirci
Önder
Ö
Ercan
Suat
S
Dede
Omer
O
Kandemir
D058107:Abdominal Wound Closure Techniques / Q000706:statistics & numerical data; D000328:Adult; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D002585:Cesarean Section / Q000379:methods* / Q000706:statistics & numerical data; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010149:Postoperative Pain / Q000453:epidemiology; D010537:Peritoneum / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D013536:Suture Techniques / Q000706:statistics & numerical data; D055815:Young Adult