study of short-term complications and advantages of peritoneal closure or non-closure at cesaeran

In the randomized clinical trial ۲۰۰ pregnant women reffred to Niknafs maternity center from November ۱۹۹۷ to May ۱۹۹۸ were divided into two groups and underwent cesarean section.in the first group (control) the parietal and visceral peritoneum were approximated with delayed absorbable material whereas in the second group (case) the parietal and visceral peritoneum were left open.the mean age of the patients was ۲۷.۵+_۵.۵. there was no significant difference between the two groups with regard to the age,parity,gravidity,gestational age,indication for surgery, the type of anesthesia,incision type,administration of antibiotice and accompanied tubectomy(p>۰.۰۵).the mean time for the procedure was ۳۶+_۵.۷ and ۴۲+_۷.۹ minutes in the case and control group,respectively.the severity of postoperative pain was lower in the case group as compared eith the control group.there were significant differences regarding the postoperative pain,the time of procedure and the mean time for the retun of bowel sound movements between the two groups.It is concluded that non closure of the peritioneum is associated with lower rate  of morbidity and it seems to be more benefacial.

Keywords:

cesarean , peritoneal closure , non closure of peritoneum