Key result
Closure of the visceral peritoneum during cesarean section significantly reduced the incidence of postoperative pain at 24 hours compared to non-closure (12% vs 48%, p<0.001).
Why the study?
The study was conducted to compare peritoneal closure with nonclosure during cesarean section.
Does closure of the visceral peritoneum reduce post-operative pain in pregnant females undergoing cesarean section?
RCT (n=100)
Randomized
No
Does closure of the visceral peritoneum reduce post-operative pain in pregnant females undergoing cesarean section?
Absolute Event Rate: 12% vs 48%
p-value: p=<0.001
Closure of the visceral peritoneum during cesarean section significantly reduces post-operative pain at 24 hours compared to non-closure.
Supports visceral peritoneum closure during cesarean section to reduce early postoperative pain; confirms RCT benefit versus non-closure.
Objective: To compare closure procedure with the nonclosure-peritoneum protocol during cesarean section. Study Design: Randomized control trial Place and Duration of Study: Department of Obstetrics &Gynecology, District Headquarter Hospital, Gujranwala from 12th May 2018 to 12th November 2018. Methodology: One hundred females were enrolled and divided into two different groups. In first Group designated as “Group I” visceral peritoneum was closed with chromic 2/0 suture while in group II, no closure was done. According to VAS the post-op pain was noted. Results: The mean age of the females from closure group was 31.06±7.57 years while the mean age of the females from non-closure group patients was 31.78±7.59 years. There were 19 (19%) female were nulliparous. The post-operative pain was noted in 30(30%) females (P<0.001). Conclusion: Closure group females showed significantly lower post-operative pain after 24 hours of cesarean section delivery than non-closure females.
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Kiran et al. (2022) conducted an RCT in Cesarean section (n=100). Visceral peritoneum closure vs. Non-closure of visceral peritoneum was evaluated on Postoperative pain at 24 hours (p=<0.001). Closure of the visceral peritoneum during cesarean section significantly reduced the incidence of postoperative pain at 24 hours compared to non-closure (12% vs 48%, p<0.001).
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