Effects of Closure vs Non-Closure of the Visceral and Parietal Peritoneum at Cesarean Section: A Prospective Randomized Study

Abstract

Objective:

To determine the effect of closure and non-closure of the visceral and parietal peritoneum during cesarean section on short-term postoperative morbidity.Subjects and Method : A prospective randomized trial was conducted of 398 women undergoing primary cesarean section;191 were classified as a closure and 207 as a non-closure of the peritoneum group in Trang Hospital, Trang province, Thailand. Perioperative outcome measures,such as analgesia dosage and morbidity measures were compared.Result : There was no significant difference between the non-closure and closure groups in the mean narcotic analgesia doses (1.09+ 1.2 vs 1.05+ 1.0, p = 0.63; respectively), mean non-narcotic analgesia doses (4.69 + 2.7 vs 4.65 + 2.8, p = 0.89; respectively), number of postoperative fever > 38 °C (14 vs 11, p = 0.37; respectively), number of wound infection (22 vs 26, p = 0.54; respectively) and mean of hospitalization days (4.16 + 0.91 vs 4.14 + 0.71, p = 0.78; respectively).Conclusions: Closure or non-closure of the peritoneum at cesarean section has no significant impact on postoperative analgesic usage and short-term morbidity.