Shakira Perveen.
Association between peritoneal closure at primary cesarean section and significant adhesions at second cesarean section.
J Surg Pak Jan ;12(2):56-9.

Objective: To evaluate impact of peritonization at primary cesarean section in terms of abdominopelvic adhesions at second cesarean section. Study design: A randomized trial. Patients & Methods: Women undergoing first cesarean delivery were randomized to either closure of both the visceral and parietal peritoneum (Group A, n =150) or non closure (Group B, n=150). At second cesarean, the variety and frequency of adhesions were examined. Results: The incidence of adhesions in the closure group was significantly higher than in the non closure group (p<0.05 ). The mean total operating time and the mean interval from skin incision to delivery in the closure group was significantly longer than in the non closure group ( P <0.05, P<0.05 respectively) at second cesarean section. Conclusions: Peritoneal closure in cesarean delivery is associated with significant adhesion formation. The practice of non-closure of peritoneum is therefore recommended.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com