Document Detail

Uterine exteriorization versus intraperitoneal repair at caesarean section.
MedLine Citation:
PMID:  10796124     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: After caesarean delivery of the fetus and placenta, the uterus may be placed outside the mother to facilitate repair of the uterine incision.
OBJECTIVES: The objective of this review was to assess the effects of exteriorisation of the uterus, compared to the effects of uterine closure within the abdominal cavity.
SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register.
SELECTION CRITERIA: Randomised and quasi-randomised trials of uterine exteriorisation for repair compared to intra-abdominal repair for pregnant women undergoing elective or emergency caesarean section.
DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted the data.
MAIN RESULTS: Two trials involving 486 women were included. Neither trial was methodologically strong. Exteriorisation made no significant difference to blood loss. Exteriorisation was associated with fewer post-operative febrile days (fever more than three days, odds ratio 0.40, 95% confidence interval 0.17 to 0.94) and a non-significant trend towards fewer infections. There was also a non-significant trend towards more nausea and vomiting when exteriorisation was done under regional analgesia.
REVIEWER'S CONCLUSIONS: There is not enough information to evaluate the routine use of exteriorisation of the uterus for repair of the uterine incision.
C Wilkinson; M W Enkin
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  -     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2000  
Date Detail:
Created Date:  2000-07-06     Completed Date:  2000-07-06     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  CD000085     Citation Subset:  IM    
Department of Perinatal Medicine/University Department of Obstetrics & Gynaecology, Women's and Children's Hospital, 72 King William Road, North Adelaide, South Australia, Australia, 5006.
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MeSH Terms
Cesarean Section* / methods
Update In:
Cochrane Database Syst Rev. 2004;(4):CD000085   [PMID:  15494988 ]

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