Practice of peritoneal closure at cesarean delivery

ABSTRACT

To determine whether non-closure of visceral and parietal peritoneum at lower segment caesarean section has advantages over closure in terms of febrile morbidity endometritis, analgesic requirements, operative time and bowel activity. Department of Obstetrics and Gynaecology, Unit-II, Dow Medical College and Civil Hospital, Karachi. A prospective randomized trial of 100 women undergoing caesarean section, fifty women were randomized to norclosure group and fifty women were randomized to closure group. The incidence of febrile morbidity and analgesic requirement was greater in closure group. Operative time was also greater in-patients of closure group. Closure of peritoneum at lower segment caesarean section doesn't offer any additional advantage, rather is associated with more complications. Closure of the peritoneum should be abandoned at caesarean section