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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 7, Issue 1, May 2013 pp 26-30

Research Article

Peritoneal Closure in Caesarean Section; A Step to Omit or to Continue?


Archana Rokade1, R. P. Patange#, D. P. Javadekar*, Vaishali Vhaval*

{1Assistant Professor, #Professor and HOD}Department of Obstetrics and Gynaecology, KIMSDU, Karad, Satara, Maharashtra, INDIA.


Academic Editor : Dr. Aher K.R.



Objective: To compare advantages and disadvantages of non-closure and closure of parietal and visceral peritoneum during caesarean section intra operatively and immediate post operatively. Study Design: This was randomized control trial conducted in department of Obstetrics and Gynaecology, Krishna Institute of Medical Sciences, Karad; during period of 6 month from 1 July 2012 to 1 Jan 2013. Material and Methods: A total of 300 women undergoing caesarean section were randomly allocated to standard routine closure (control group c=150), and non-closure of both peritoneal layers (study group nc=150). Parameters compared were operative time, intraoperative blood loss, postoperative febrile episodes, wound infection and postoperative pain, requirement of analgesic dose, time taken for returning bowel functions, ambulation and duration of hospital stay and cost effectiveness. Statistical analysis done for above mentioned parameters. Preoperative, intra and postoperative management decisions were made without reference to either group specifically. Results: Operating time, anesthesia time and time of ambulation were significantly shorter in non-closure group (p<0.0001). There was less postoperative pain, analgesic requirement and febrile morbidity in non-closure group; however it was not statistically significant. Conclusion: Peritoneal non-closure is recommended during caesarean section because it results in significantly shorter operative time and hospital stay, decreased anesthetic dosage, quicker return of bowel activity and thus conferred significant patient and economic benefit.