A COMPARISON OF PERITONEAL CLOSURE WITH NON-CLOSURE FOR SHORT TERM MORBIDITY IN EMERGENCY LOWER SEGMENT CESAREAN SECTION

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Abstract

Introduction: Cesarean section issurgical delivery of a baby and the placenta. Previously cesarean section had a high
mortality and morbidity due to multiple reasons. Advances in surgical techniques has made cesarean section a safe
procedure. In cesarean section, peritoneal non closure with peritoneal closure has proved to be associated with least
morbidity and mortality.
Objective: For the better benefit of the patients and for time management such procedures should be encouraged
Material and methods: A cross sectional comparative study of 200 females undergoing cesarean section was done.
The patients were subdivided into two groups of 100 each and named as group A randomized into closure and B
non-closure group respectively. Perioperative,intraoperative and postoperative details were recorded. The data was
entered into SPSS version 10.0. variables were compared between the two groups by using T-test and chi-square test.
P value of <0.05 was taken as statistically significant.
Result: Short term morbidity like duration of operation, febrile morbidity, amount of analgesic doses, return of bowel
activity,severity of pain and hospital stay wereanalyzed and the results were statistically significant (p<0.05) in peritoneal
non closure group.
Conclusion: Routine closure of cesarean section can be avoided as non-closure of visceral and parietal peritoneum
at cesarean section is associated with lesser operating time and improved short term morbidity.

Authors: 
Sarwat Noreen1
Muhammad alam2
WaseemYar Khan2
Riffat Sultana
Shabnam Gul

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