Peritonization at Cesarean Section-is it necessary?

Abstract

The aim of this study was to determine whether non-closure of visceral peritoneum at low transverse cesarean section has advantages over suture peritonization with regard to postoperative morbidity. The study was done at Lady Willingdon Hospital, Lahore where 60 women were randomized into study, 30 group A had peritoneal closure and 30 group B had non-closure. Duration of operation, maternal morbidity, postoperative infection, maternal pain, length of hospital stay, wound dehiscence, usage of analgesic, urinary tract infection and time to opening of bowel were analyzed. The study showed that there are no advantages ¡n suturing of peritoneum in terms of blood loss, postoperative pyrexia and wound infection. In fact non-closure of peritoneum was associated with short operation duration and reduced cost. Maternal pain was not increased in patients with non-closure of peritoneum.