Amer, W., El-Mashad, A., Soliman, E., Edris, Y. (2023). Effects of Closure versus Non-Closure of The Visceral and Parietal Peritoneum at Cesarean Section. Benha Medical Journal, 40(1), 206-216. doi: 10.21608/bmfj.2023.202514.1789
Wagdy Megahed Amer; Ashraf Ismail El-Mashad; Esraa Mohammed Soliman; Yehia Edris. "Effects of Closure versus Non-Closure of The Visceral and Parietal Peritoneum at Cesarean Section". Benha Medical Journal, 40, 1, 2023, 206-216. doi: 10.21608/bmfj.2023.202514.1789
Amer, W., El-Mashad, A., Soliman, E., Edris, Y. (2023). 'Effects of Closure versus Non-Closure of The Visceral and Parietal Peritoneum at Cesarean Section', Benha Medical Journal, 40(1), pp. 206-216. doi: 10.21608/bmfj.2023.202514.1789
Amer, W., El-Mashad, A., Soliman, E., Edris, Y. Effects of Closure versus Non-Closure of The Visceral and Parietal Peritoneum at Cesarean Section. Benha Medical Journal, 2023; 40(1): 206-216. doi: 10.21608/bmfj.2023.202514.1789
Effects of Closure versus Non-Closure of The Visceral and Parietal Peritoneum at Cesarean Section
1Assistant professor of obstetrics and gynecology Faculty of medicine - Benha University
2Professor of obstetrics and gynecology Faculty of medicine- Benha University
3Department of obstetric and gynecology Faculty of medicine- Benha University
4Obstetrics and Gynecology , Faculty of Medicine,Benha University,benha,Egypt
Abstract
Background: Globally, caesarean sections (CS) are on the rise. It is among the most frequently performed major obstetric surgeries. This study aimed to evaluate the outcomes of closure versus non-closure of the visceral and parietal peritoneum. Methods: This randomized blinded controlled clinical trial was carried out on 400 consenting women undergoing CS. All pregnant women were randomized into one of the four equal groups: Group 1: Closure of parietal peritoneum only, group 2: Closure of visceral and parietal peritoneums, group 3: No closure of peritoneums, and group 4: Closure of the visceral peritoneum only Results: Surgery duration was considerably lower in Group 3 which was 25 min in average while group 2 showed the longer Duration of Surgery 34 min in average (p < 0.001). There was a considerably significant difference between 4 groups according to post-operative patients’ satisfaction VAS (p=0.04). and Analgesics used (Pethidine 10mg/ ml) as the lowest amount was in group 3 (1.83 ml) and the highest amount was in group 2 (2.31 ml) (p < 0.0001). Conclusion: For visceral and parietal peritoneum in CS, the non-closure approach is recommended due to its much shorter operating time and lower postoperative pain score. As a result of these advantages, it may be preferred as a method of treating CS patients.
Top