BACKGROUND In modern obstetrics caesarean sections are commonly used and in all caesarean sections either peritoneal closure is done or not. This cases series was conducted to record outcomes in our setup. METHODS Cases of caesarean sections were followed for adhesions and non-adhesions in peritoneal closure and non-closure cases from 1't January to December 2011 at DHQ Hospital Haripur. In n...

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...

We have read the debate on peritoneal closure by Cheong et al. with interest (Cheong et al., 2001). The authors state that the long term benefits and hazards of non-closure of the peritoneum are unknown, and expect adhesion related problems. Among the various outcome measures concerning long-term morbidity, adhesion formation/reformation is probably one of the most important ones. The presence ...

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 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 ...

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...