Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 10 , ISSUE 3 ( July-September, 2018 ) > List of Articles


Postoperative Outcome of Caesarean Section in Closure Versus Nonclosure of Parietal Peritoneum

Smriti Bhargava, Nupur Hooja, Avantika Sharma, Bhomraj Kumawat, Rajani Nawal, Apoorv Shastri, Manisha Kala, Richa Manish

Keywords : Caesarean, Closure, Nonclosure, Peritoneum.

Citation Information : Bhargava S, Hooja N, Sharma A, Kumawat B, Nawal R, Shastri A, Kala M, Manish R. Postoperative Outcome of Caesarean Section in Closure Versus Nonclosure of Parietal Peritoneum. J South Asian Feder Obs Gynae 2018; 10 (3):182-185.

DOI: 10.5005/jp-journals-10006-1585

Published Online: 01-07-2015

Copyright Statement:  Copyright © 2018; The Author(s).


Aim: Caesarean section is the commonest obstetric surgery. Any change in the operative technique however small, affects the postoperative outcome. Effect of nonclosure of peritoneum on postoperative outcome was evaluated. Method: This was an interventional study. Postoperative condition of the women was assessed after caesarean section. Peritoneum was either closed or left open and outcome was compared. Statistical analysis was done. Results: Most women in the nonclosure group had earlier ambulation and return of bowel activity and breastfed early in comparison to the closure group. More postoperative pain, nausea and vomiting was observed when peritoneum was closed. Since the stay in hospital was less in women with peritoneal nonclosure and because of use of lesser suture material, this was more cost effective too. Conclusion: Leaving the peritoneal open was a better method than closing it because patient was more comfortable, there was lesser morbidity and shorter hospital stay and cost effectiveness. Clinical significance: The policy of peritoneal nonclosure will help in decreasing maternal discomfort, shorter hospital stay and overall economical.

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  1. Arias F, Bhide AG, Arulkumaran S, Damania K, Daftary SN, editors. Practical guide to high risk pregnancy and delivery. Elsevier health sciences; 2012 May 14.
  2. Deshpande H, Burute SB, Madkar CS, Dahiya P. The effect of suturing and nonsuturing of visceral and parietal peritoneum on postoperative pain in caesarean section. Int. Journal of Pharmacy and Biomedical Science 2012;3(4):164-166.
  3. Tabasi Z, Mahdian M, Abedzadeh-Kalahroudi M. Closure or non-closure of peritoneum in cesarean section: outcomes of short-term complications. Archives of trauma research. 2013;1(4):176.
  4. Noreen S, Alam M, Khan WY, Sultana R, Gul S. A comparison of peritoneal closure with non-closure for short term morbidity in emergency lower segment cesarean section KJMS. January-April. 2015;8(1):76-79.
  5. Brocklehurst P, Quigley M, Ayers S, Juszczak E. Caesarean section surgical techniques: a randomised factorial trial (CAESAR). BJOG-Int J Obstet Gy. 2010;117(11):1366- 1376.
  6. Group TC. Caesarean section surgical techniques (CORONIS): a fractional, factorial, unmasked, randomised controlled trial. The Lancet. 2013 Jul 26;382(9888):234-248.
  7. Fahmy MM, Saleh SA, Khouly NIE, Zahrane RA. Short- term effect of closure versus non-closure of peritoneum at cesarean section. Life Science Journal 2015;12(2)60-63.
  8. Kurek Eken M, Ozkaya E, Tarhan T, .coz ., ., Kahraman .T, Karateke A. Effects of closure versus non-closure of the visceral and parietal peritoneum at cesarean section: does it have any effect on postoperative vital signs? A prospective randomized study. The Journal of Maternal-Fetal & Neonatal Medicine. 2016 Sep Sep 5;30(8):922-926
  9. Agarwal DN, Agarwal DB. Effect of Non Closure of Peritoneum on Outcome of Caesarean Section-A Prospective Randomised Control Study. International Journal of Scientific Research. 2016 Aug 1;4(6).
  10. Cheema H K, Singh C, Mehta S S, Suri S. Closure versus Nonclosure of peritoneum in cesarean section and evaluation of post-operative pain: A hospital based study. International Journal of Scienti.c Study. Dec 2014; 2(9):89-92.
  11. Hamel KJ. Incidence of adhesions at repeat cesarean delivery. American Journal Of Obstetrics And Gynecology. 2007 May 31;196(5):e31-32.
  12. Chattopadhyay S, Goswami S. Palonosetron versus ramosetron prophylaxis for control of postoperative nausea and vomiting after cesarean delivery under spinal anesthesiaThe Journal of Obstetrics and Gynecology of India. 2015 Feb 1; 65(1):28-33.
  13. Rokade A, Patange R P, Javadekar D P, Vhaval V. Peritoneal Closure in Caesarean Section; A Step to Omit or to Continue? International Journal of Recent Trends in Science and Technology. 2013; 7(1): 26-30.
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