Effect of Closure versus Non-closure of Peritoneum at Cesarean section on adhesions: A Prospective Randomized study
American Journal of Obstetrics and Gynecology, 08/10/2011
Kapustian V et al. – Closure or non closure of the peritoneum at Cesarean sections did not lead to large difference in the adhesions rate.Methods
- A prospective randomized trial of 533 women undergoing primary Cesarean section; in 256 the peritoneum was left open and in 277 it was closed.
- Fifty women in the non closure group and 47 women in the closure were subsequently evaluated intra-operatively at a repeat cesarean.
- The presence of adhesions and their severity was evaluated at several sites.
- The non closure and closure groups were comparable with regard to the proportion of patients with adhesions at any site (60% vs. 51%; p= 0.31 respectively).
- Time from incision to delivery was comparable in the non closure and closure groups (8.98±4.7 vs. 9.32±5.2, p=0.84; minutes, respectively).