Volume 17, Issue 71 (5-2010)                   RJMS 2010, 17(71): 27-33 | Back to browse issues page

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Almassi Nokiani F, Veissi F, Rezaei M, Akbari H, Khavaran P. Comparison of Early Results of Closure and Non-closure of Visceral Peritoneum in Cesarean Section. RJMS. 2010; 17 (71) :27-33
URL: http://rjms.iums.ac.ir/article-1-1456-en.html
Abstract:   (6370 Views)

    Background & Aim: Because cesarean section is one of the most prevalent surgeries in women , the reduction of complications and duration of operation and finding simpler techniques with the fewest complications are of great importance. The present study was conducted to compare the early results, i.e. duration of operation, pain, fever and wound infection, of the two methods of repairing and not repairing  visceral peritoneum in cesarean section so that we can suggest the best route with the fewest complications.

Patients and Method: In a comparative experimental research, 258 pregnant women who had cesarean section for the first time  were randomly assigned into two groups of repairing and not repairing  visceral peritoneum. The early results including duration  of operation, pain, fever, and wound infection were compared in both groups .For statistical analysis,we used Z–test,  leven test, and Chi-square and the findings were shown in cross tabulation tables .

Results: Duration of operation was lower in the non-repair group. The rate of wound infection in both groups was 1.2% with no significant differences.The prevalence of post-operation ileus and fever in the repair group was higher and more significant (p < 0.001). Post-operation pain, which was determined based on the number of indomethacin rectal suppositories prescribed, was greater in the repair group (p< 0.001) .

Conclusion: Since there are no short-term complications due to not repairing visceral peritoneum and because of the reduction in the duration of operation, pain, fever, and the prevalence of ileus in this method, it is recommended that traditional method of closure of visceral peritoneum in cesarean section not be done
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Type of Study: Research | Subject: Gynecology

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