Randomized study of closure of the peritoneum at cesarean delivery.

Update item information
Publication Type Journal Article
School or College School of Medicine
Department Pediatrics; Obstetrics & Gynecology
Creator Varner, Michael W.
Other Author Hull, Dale B.
Title Randomized study of closure of the peritoneum at cesarean delivery.
Date 1991-06
Description This study was conducted to test the hypothesis that nonclosure of the visceral and parietal peritoneum during low transverse cervical cesarean delivery is not associated with increased intraoperative or immediate postoperative complications. One hundred thirteen patients scheduled for low transverse cervical cesarean were randomized to either closure of both the visceral and parietal peritoneum with absorbable suture (N = 59) or no peritoneal closure (N = 54). Patients were cared for in the usual postoperative manner without reference to treatment group. There were no demographic differences between the groups and no differences in method(s) of anesthesia, operative indication(s), or use of peripartum epidural narcotics. The incidence of fever, endometritis, or wound infection was similar between groups. There were no differences in the number of patients requiring parenteral narcotic analgesia or in the number of doses per patient. The number of oral analgesic doses was significantly greater with closure than without (P = .014). The frequency with which postoperative ileus was diagnosed in each group was similar, and there was no difference regarding the day on which patients were advanced to liquid or select diets. Bowel stimulants were administered more frequently to the closure than to non-closure patients (P = .03). The average operating time was shorter for the open group than for the closure group (P less than .005). We conclude that non-closure of the visceral and parietal peritoneum at low transverse cervical cesarean delivery appears to have no adverse effect on immediate postoperative recovery, may decrease postoperative narcotic requirements, allows less complicated return of bowel function, and provides a simplified and shorter surgical procedure.
Type Text
Publisher Lippincott, Williams & Wilkins
Volume 77
Issue 6
First Page 818
Last Page 821
Subject Cesarean Section; Postoperative Complications; Visceral and Parietal Peritoneum closure
Subject MESH Cesarean Section; Peritoneum; Postoperative Complications
Language eng
Bibliographic Citation Hull DB, Varner MW. A randomized study of closure of the peritoneum at cesarean delivery. Obstet Gynecol. 1991 Jun;77(6):818-21. Retrieved on April 18. 2007 from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=Display&DB=pubmed
Rights Management Copyright © Wolters Kluwer, Obstetrics and Gynecology, 77, 818-821, 1991
Format Medium application/pdf
Identifier ir-main,941
ARK ark:/87278/s67w6wcm
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2020-05-07
ID 703695
Reference URL https://collections.lib.utah.edu/ark:/87278/s67w6wcm
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