[Non-closure of Peritoneum at Cesarean Section. Results From Repeat Cesarean Sections]

Wien Klin Wochenschr. 2001 Jun 15;113(11-12):451-3.
[Article in German]

Abstract

Objectives: A number of publications advocate the short-term advantages of peritoneal nonclosure at cesarean section. However, currently there are no hard data available about long-term results and the repeat cesareans.

Material and methods: The study group of this retrospective analysis consisted of 30 women who underwent a repeat cesarean delivery, after a previous cesarean without closure of the visceral and parietal peritoneum. The control group (n = 31) had undergone peritoneal closure at the primary operation. All cesareans were performed at the same institution between 04/01/1997 and 12/31/1998 (first operation), and 01/01/1999 and 06/30/2000 (repeat operation).

Results: The mean operation time was 38.9 (+/- 11.6) minutes in the study group and 44.2 (+/- 13.6) minutes in controls (p = 0.05). The mean incision-delivery time was 6.7 (+/- 3.2) minutes in the study group and 9.1 (+/- 3.9) minutes in controls (p < 0.01). No difference in intraoperative blood loss was observed between the two groups. In each cohort one case with significant intraabdominal adhesions was observed.

Conclusion: Our results indicate that nonclosure of the peritoneum at primary cesarean section does not promote intraabdominal adhesions. This appears to be beneficial for the repeat cesareans.

Publication types

  • Evaluation Study

MeSH terms

  • Abdomen
  • Adult
  • Case-Control Studies
  • Cesarean Section / adverse effects
  • Cesarean Section / methods*
  • Cesarean Section, Repeat / adverse effects
  • Cesarean Section, Repeat / statistics & numerical data*
  • Female
  • Humans
  • Incidence
  • Peritoneum / surgery*
  • Pregnancy
  • Retrospective Studies
  • Tissue Adhesions / etiology*
  • Treatment Outcome