Muntiha Sarosh Nasir, Shaista Anwer, Farrukh Naheed, Azra Sultana.
Peritoneal closure versus non-closure during Caesarean Section with regard to postoperative morbidity.
Pak J Surg Nov ;29(1):70-3.

Objective: To compare whether non closure of the peritoneum at caesarean section has advantages over suture peritonization with regard to postoperative morbidity. Design: A prospective, comparative study. Setting and Duration: The study lasted from Oct 2011 till Oct 2012 at Department of Obstetrics and Gynaecology, Fatima Hospital, Baqai Medical University, Karachi. Subject and Methods: One hundred pregnant women at term under going caesarean section were included, 50 underwent closure of the peritoneum (Control group, n1=50), and the rest underwent non-closure(study group n2=50). It was a double blinded study. Th e main outcome measures were post operative pain, analgesia requirement, hospital stay, surgery time, wound infection, and prolonged ileus. Results: Non closure of the visceral and parietal peritoneum at caesarean section is associated with fewer post operative complications, lower febrile and infectious morbidity, decreases post operative analgesia requirement, allows less complicated return of bowel function, reduces hospital stay and provides a simplified and shorter surgical procedure. Conclusion: Non closure of the visceral and parietal peritoneum at caesarean section is a better option as compared to closure of the peritoneum at caesarean section.

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