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A New Technique for Closure of the Uterus at Caesarean Section
Author(s) -
Sivasuriya M.,
Sriskanthan R.,
Sriskandarajah M. N.
Publication year - 1988
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1988.tb01631.x
Subject(s) - caesarean section , medicine , uterus , surgery , fibrous joint , closure (psychology) , uterine rupture , labour ward , sterilization (economics) , pregnancy , law , genetics , political science , monetary economics , economics , foreign exchange market , biology , foreign exchange
EDITORIAL COMMENT: This paper was accepted for publication so that readers might pause and review their technique for closure of a Caesarean section incision. This paper favours a one layer closure in patients in whom sterilization is planned, presumably because the authors fear that the resultant scar would be more likely to rupture if a subsequent labour occurred. The time saved would not seem of great importance in most centres. Our editorial panel still favour the technique of closure of the incision in uterine muscle in 2 layers, with both lateral angles being secured before proceeding medially with the first continuous stitch. The use of a guide stitch in the centre of the lower edge of the uterine wound also facilitates closure (Ashton P, Beischer N, Cullen J, Rattan G. Return to Theatre — Experience at the Mercy Maternity Hospital, Melbourne 1971–1982. Aust NZJ Obstet Gynaecol 1985; 25: 159–169). Summary: A new method of closure of the uterus at Caesarean section is described. The technique which comprised suturing the uterine incision in a single layer was employed in 100 patients, in all of whom there was also a valid indication for sterilization. Apart from being simple, safe and effective the main advantage of the technique appeared to be saving operating time. A noteworthy feature was that the incidence of postoperative complications was no higher compared with the standard 3‐layer suture of the uterus.