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Short‐term effects of closure versus non‐closure of the visceral and parietal peritoneum at cesarean section: A prospective randomized study
Author(s) -
Anteby Eyal Y.,
Kruchkovich Jenya,
Kapustian Viki,
Gdalevich Michael,
Shenhav Simon,
Gemer Ofer
Publication year - 2009
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2009.01062.x
Subject(s) - medicine , narcotic , closure (psychology) , peritoneum , perioperative , randomized controlled trial , surgery , anesthesia , prospective cohort study , analgesic , market economy , economics
Aim: To determine the effect of non‐closure of the visceral and parietal peritoneum during cesarean section on short‐term postoperative morbidity. Methods: A prospective randomized trial was conducted of 533 women undergoing primary cesarean section; 277 were randomized to closure and 256 to non‐closure of the peritoneum. Perioperative outcome measures, such as analgesia dosage and morbidly measures were compared. Results: There was no significant difference between the non‐closure and closure groups in the mean number of narcotic analgesia doses (1.09 ± 1.2 vs 1.05 ± 1.0, P = 0.63; respectively), mean number of non‐narcotic analgesia doses (4.69 ± 2.7 vs 4.65 ± 2.8, P = 0.89; respectively), number of women with postoperative fever >38°C (18 vs 14, P = 0.37; respectively), number of women with wound infection (29 vs 35, P = 0.54; respectively) and mean number of hospitalization days (4.16 ± 0.91 vs 4.14 ± 0.71, P = 0.78; respectively). Conclusion: Closure or non‐closure of the peritoneum at cesarean sections has no significant impact on postoperative analgesic usage and short‐term morbidity.