Surgical and anaesthetic consideration during exteriorisation Vs intraperitoneal repair at caesarean section

ABSTRACT

This study included 80 women undergoing delivery by cesarean section. After the establishment of general anesthesia, women were randomized to either exteriorization or in situ repair. For all women, the duration of operation, amount of blood loss, hemoglobin concentration [preoperative and on day three], changes in pulse rate, mean arterial blood pressure and oxygen saturation [preoperative, intraoperative and after recovery], maternal morbidity and length of hospital stay, immediate and late puerperal pain scores were measured. It was found that with effective anesthesia, exteriorization was not associated with significant problems and was associated with a short duration of surgery. Exteriorization, an elective cesarean section and general anesthesia had a significant association with reduced blood loss. There were no significant differences between the two groups with regard to intraoperative complications. Exteriorization was associated with fewer postoperative febrile days and fewer infections