In the randomized clinical trial 200 pregnant women reffred to Niknafs maternity center from November 1997 to May 1998 were divided into two groups and underwent cesarean section.in the first group (control) the parietal and visceral peritoneum were approximated with delayed absorbable material whereas in the second group (case) the parietal and visceral peritoneum were left open.the mean age o...

results pain scores, analgesic requirements assessed at 24 hours and operation duration were significantly lower in the non-closure group as compared to the closure group. febrile conditions and changes in hemoglobin levels were similar in both groups. conclusions non-closure of both visceral and the parietal peritoneum when performing a cs produces a significant reduction in pain, fewer analge...

Peritoneal closure is a controversial issue among obstetricians and gynaecologists. This article reappraises the issue of peritoneal closure. We conducted a thorough literature search using Medline, Pubmed and Embase as well as a hand-search for all references quoted in the relevant papers. The routine non-closure of the peritoneum reduces operation time by an average of 6 min. Most studies sho...

BACKGROUND Caesarean section (CS) is a very common surgical procedure worldwide. Suturing the peritoneal layers at CS may or may not confer benefit, hence the need to evaluate whether this step should be omitted or not. OBJECTIVES To assess the effects of non-closure as an alternative to closure of the peritoneum at CS on intraoperative, immediate and later postoperative, and long-term outcom...

BACKGROUND Caesarean section is a very common surgical procedure worldwide. Suturing the peritoneal layers at caesarean section may or may not confer benefit, hence the need to evaluate whether this step should be omitted or routinely performed. OBJECTIVES The objective of this review was to assess the effects of non-closure as an alternative to closure of the peritoneum at caesarean 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....

Many gynaecologists do not currently close the peritoneum after caesarean section (CS). Recently, several studies examining adhesion formation after repeat CS appear to favour closure of the peritoneum after caesarean section. We performed a systematic review of the current available evidence with regard to the long-term outcome, mainly in terms of adhesion formation after closure versus non-cl...