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Effect of closure of anterior abdominal wall layers on early postoperative findings at cesarean section: A prospective cross-sectional study
Department of Obstetrics and GynecologyÇintesun, Ersin; Department of Obstetrics and GynecologyKebapçılar, Ayşe Gül; Department of Obstetrics and GynecologyUçar, Mustafa Gazi; Department of Obstetrics and GynecologyYılmaz, Setenay Arzu; Department of Obstetrics and GynecologyBertizlioğlu, Mete; Department of Obstetrics and GynecologyÇELİK, Çetin; Department of Obstetrics and GynecologyKerimoğlu, Özlem Seçilmiş.
  • Department of Obstetrics and GynecologyÇintesun, Ersin; Selçuk University. Medicine Faculty. Department of Obstetrics and GynecologyÇintesun, Ersin. Selçuklu. TR
  • Department of Obstetrics and GynecologyKebapçılar, Ayşe Gül; Selçuk University. Medicine Faculty. Department of Obstetrics and GynecologyKebapçılar, Ayşe Gül. Selçuklu. TR
  • Department of Obstetrics and GynecologyUçar, Mustafa Gazi; Selçuk University. Medicine Faculty. Department of Obstetrics and GynecologyUçar, Mustafa Gazi. Selçuklu. TR
  • Department of Obstetrics and GynecologyYılmaz, Setenay Arzu; Selçuk University. Medicine Faculty. Department of Obstetrics and GynecologyYılmaz, Setenay Arzu. Selçuklu. TR
  • Department of Obstetrics and GynecologyBertizlioğlu, Mete; Selçuk University. Medicine Faculty. Department of Obstetrics and GynecologyBertizlioğlu, Mete. Selçuklu. TR
  • Department of Obstetrics and GynecologyÇELİK, Çetin; Selçuk University. Medicine Faculty. Department of Obstetrics and GynecologyÇELİK, Çetin. Selçuklu. TR
  • Department of Obstetrics and GynecologyKerimoğlu, Özlem Seçilmiş; Selçuk University. Medicine Faculty. Department of Obstetrics and GynecologyKerimoğlu, Özlem Seçilmiş. Selçuklu. TR
Rev. bras. ginecol. obstet ; 43(4): 250-255, Apr. 2021. tab, graf
Article in English | LILACS | ID: biblio-1280036
ABSTRACT
Abstract Objective To investigate the effect of closure types of the anterior abdominal wall layers in cesarean section (CS) surgery on early postoperative findings. Methods The present study was designed as a prospective cross-sectional study and was conducted at a university hospital between October 2018 and February 2019. A total of 180 patients who underwent CS for various reasons were enrolled in the study. Each patient was randomly assigned to one of three groups Both parietal peritoneum and rectus abdominis muscle left open (group 1), parietal peritoneum closure only (group 2), and closure of the parietal peritoneum and reapproximation of rectus muscle (group 3). All patients were compared in terms of postoperative pain scores (while lying down and duringmobilization), analgesia requirement, and return of bowel motility. Results The postoperative pain scores were similar at the 2nd, 6th, 12th, and 18th hours while lying down. During mobilization, the postoperative pain scores at 6 and 12 hours were significantly higher in group 2 than in group 3. Diclofenac use was significantly higher in patients in group 1 than in those in group 2. Meperidine requirements were similar among the groups. There was no difference between the groups' first flatus and stool passage times. Conclusion In the group with only parietal peritoneum closure, the pain scores at the 6th and 12th hours were higher. Rectus abdominismuscle reapproximations were found not to increase the pain score. The closure of the anterior abdominal wall had no effect on the return of bowel motility.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pain, Postoperative / Cesarean Section / Abdominal Wall / Wound Closure Techniques Type of study: Diagnostic study / Observational study / Prevalence study Limits: Female / Humans Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: Selçuk University/TR

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Full text: Available Index: LILACS (Americas) Main subject: Pain, Postoperative / Cesarean Section / Abdominal Wall / Wound Closure Techniques Type of study: Diagnostic study / Observational study / Prevalence study Limits: Female / Humans Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: Selçuk University/TR