Why the study?
Traditionally, suturing of peritoneal layers during caesarean section has been done, but with variable results.
Does non-closure of the peritoneum reduce surgery time and post-operative analgesia requirement in females undergoing elective caesarean section?
Does non-closure of the peritoneum reduce surgery time and post-operative analgesia requirement in females undergoing elective caesarean section?
Non-closure of the peritoneum during elective caesarean section significantly reduces operative time and postoperative analgesic requirements compared to traditional closure.
Supports non-closure of the peritoneum in elective caesarean sections to shorten operative time and reduce analgesia needs; extends randomized evidence favoring simplified closure.
Background: Caesarean section is one of the most frequently performed surgical procedures worldwide. Traditionally, suturing of peritoneal layers in cesarean section patients has been done, but with variable results. Objective: To compare the outcome with or without peritoneum closure in female undergoing elective caesarean section. Methodology: This was a Quasi Experimental study, conducted from 1stJune, to 30th November, 2018 at Obstetrics and Gynecology Unit 2, Jinnah Hospital Lahore. Total 100 patients were selected for elective cesarean section from patients visiting outpatient department and divided into two groups A (Peritoneum closed) and Group B (Peritoneum not closed) by simple randomization technique. Variables included were Surgery time (minutes) and post-operative amount of analgesia. Data was analyzed by SPSS version 20. Results: Mean age of the patients was 28±4 and 28±5 in group A and B, respectively. Mean gestational age was 38.7±1.1and 38.46±1.1 weeks in group A and B respectively. In group A, mean operative time was 43.1±4.8 and in group B, 35.1±3.3 minutes. (p=0.001). Postoperative analgesia was required 207±12 mg in group A and 182±11mg in group B. (p=0.001). Conclusion: In conclusion, this study showed that the non closure of the peritoneum was associated significantly shorter duration of surgery and significantly lower pain scores and less analgesic use compared to traditional practice of closure of the peritoneum.
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A 2020 study studied this question.