Uzma Manzoor, Mumtaz Jahan, Uzma Shahzad, Saima Qureshi.
Nonclosure of Peritoneum; a Comparitive Trial.
Professional Med J Jan ;25(3):345-9.

Introduction: This study reflects the comparison between closure Vs nonclosure of peritoneum during Caesarian section. Objectives: The aims of study are: 1. To make a comparative trial between closure versus nonclosure of peritoneum during cesarean section. 2. To know the requirement of postoperative analgesia in each group of patients. Study Design: A randomized controlled trial. Setting: Department of Obstetrics and Gynaecology, Arar Central Hospital, North Zone, Kingdom of Saudi Arabia. Duration of Study with Dates: The duration of study was six months from 02-07-2012 to 01-01-2013. Subjects and Methods: A total of 170 patients (85 in each group) were included in this study. Parietal peritoneum was closed using a continuous absorbable suture in closure group. In non-closure group both layers were remained unsutured. Results: Both groups of patients had equal availability of analgesia, but the women in the non closure group used significantly less mean number of narcotic analgesic doses during the first 24 hours after cesarean section. Besides, the operation time and exposure to anesthesia was found less in the non-closure group. Conclusion: Non-closure of peritoneum at caesarean section produces a significant reduction in postoperative analgesic requirement.

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