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Parietal peritoneal closure versus non-closure at caesarean section: which technique is feasible to perform?
MedLine Citation:
PMID:  23350686     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective: To evaluate short-term effects of closure versus non-closure of the parietal peritoneum at caesarean section. Methods: A randomized controlled study of women undergoing caesarean section was conducted at the obstetrics department of a research and education hospital between October 2010 and May 2011. Patients were randomly assigned to have closure of parietal peritoneal layer (Group I, n=55), and non-closure of parietal peritoneal layer (Control, Group II, n=55). Intra-operative and post-operative outcomes were compared between the groups. Results: Groups were similar for baseline characteristics. Although there was statistically significant difference between Group 1 and Group 2 in terms of time to oral intake and mobilization time [(12 (8-12) vs 8 (8-10) hr; P<0.001; 12 (8-12) vs 8 (8-10) hr; P<0.001], the other variables as drop in haemoglobin concentration, estimate of blood loss, intra-operative additional sutures, operating time, and time to passage of flatus [(1.13±0.86 vs 1.41±0.82 g/dL; 487.9±217.01 vs 544.87±237.64 mL; 0 (0-1) vs 0 (0-1); 30.8±7.63 vs 31.6±10.38 hr; 18.2±6.04 vs 18.2±4.23 hr, P>0.05] were not statistically different between Group 1 and Group 2. Conclusions: Closure of the parietal peritoneum has no benefit over non-closure of parietal peritoneum and non-closure is associated with rapidly post-operative recovery.
Authors:
Sadiman Kiykac Altinbas; Pinar Cenksoy; Omer Lutfi Tapisiz; Gulay Beydilli; Bülent Yirci; Onder Ercan; Dede Suat; Kandemir Omer
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-28
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
M. D., Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital, Department of Obstetrics and Gynecology, Ankara, TURKEY.
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