A Randomized Study Comparing Non-Closure and Closure of Visceral and Parietal Peritoneum During Cesarean Section

Objectives: To assess the short term morbidity of non-closure of the visceral and parietal peritoneal at caesarean section as compared to suture peritonization. Methods: A prospective randomized controlled trial of 200 women undergoing cesarean section was done; randomized into non-closure and closure groups. Perioperative, intraoperative and postoperative details were recorded in the proforma. Chi-square/student t-test were used to compared outcome between the two groups. Results: Operating time, anesthesia time and time of ambulation were significantly shorter in non-closure group (p<0.0001). There was less postoperative pain, analgesic requirement and febrile morbidity in non-closure group; however it was not statistically significant. Conclusion: Avoiding the closure of visceral and parietal peritoneum at cesarean is associated with lesser operating time, decreased febrile morbidity and lesser need for postoperative analgesics. Hence routine closure of peritoneum at cesarean can be avoided.