SHAHNAZ HASAN SIDDIQUI, AZRA SULTANA.

ABSTRACT

Object: To evaluate the effects of leaving the parietal and visceral peritoneum open at lower segment caesarean section. Design: A non- randomized controlled trial.

Materials and Methods: Of the 50 evaluable subjects, 25 had parietal and visceral peritoneum left open whereas 25 were closed. Analgesia requirements assessed by visual and verbal scale, oral analgesia used after 24 hours postoperatively for four days and postoperative satisfaction assessed verbally, shorter surgical time length of postoperative hospital stay, reestablishment of intestinal motility were the main out come measures.

Result: Pain at 24 hours was similar in both groups but in subsequent days the non-closure group had decreased maternal pain and had a tendency to require less postoperative analgesics (1500 mg/day Vs 750 mg/day, P = 0.03), shorter hospital stay and early reestablishment of intestinal motility.

Conclusion: Non-closure of both visceral and parietal peritoneum at the caesarean section produces a significant reduction in the postoperative use of analgesia and shorter hospital stay postoperatively.

For Full text contact to:
Prof. Dr. Farah Mansuri
editor@annals-ashkmdc.org

Department of Obstetrics and Gynaecology, Abbasi Shaheed Hospital, Karachi *
Karachi Medical & Dental College ASH (Deptt. of Pathology Gynae & Urology ). *