Title: Minimal wound closure at cesarean section.

POPLINE Document Number: 277016

Author(s):

Hamza SM
Hamido S

Source citation:

Egyptian Society of Obstetrics and Gynecology, 2001 Jan-Mar;27(1-3):1-9.

Abstract:

Background: During the last years, the rate of cesarean deliveries is increased in most of countries, a lot of efforts were directed towards simplification of the operative technique of cesarean section to reduce the total costs and to keep it as safe as the traditional technique. Aim: To evaluate whether an alternative method in wound closure (minimal wound closure) at cesarean delivery would be more advantageous especially regarding operating time, postoperative morbidity and hospital stay. Patients and methods: A prospective randomized trial including 218 women undergoing lower segment cesarean section through a Pfannenstiel incision in Ain Shams University Maternity Hospital (approximately 10000 deliveries annually). All women were randomly allocated to two groups, Group I (control group, n = 110) underwent a standard operative technique in wound closure, Group II (study group, n = 108) underwent minimal wound closure with a modification in the operative technique where the transverse uterine incision was closed with a continuous, locking one layer closure, and both layers of the peritoneum (visceral and parietal) were left unsutured. Results: The mean operating time was 28 minutes in the study group comparing with 40 minutes in the control group (P < 0.001). There were significant difference regarding postoperative pain and needs to analgesia with advantage to minimal wound closure group (P = 0.002). Postoperative febrile morbidity were significantly reduced in minimal wound closure group (P = 0.04). There were a highly significant different in postoperative mobilization and resuming intestinal function (P < 0.001). Postoperative hospital stay was about one day less in minimal wound closure group (P < 0.001). The incidence of wound infection and intraoperative blood loss showed non significant statistical difference between the two groups. Conclusion: Minimal wound closure at cesarean section is considered to be as safe as the traditional closure but simpler to perform, beneficial to the obstetricians, patients and is associated with less costs. (author's)

Keywords:

Egypt
Research Report
Clinical Research
Prospective Studies
Case Control Studies
Women in Development
Pregnant Women
Cesarean Section
Pregnancy Complications
Time Factors
Pain
Analgesia
Gastrointestinal Effects
Infections
Bleeding
Africa, Northern
Africa
Developing Countries
Research Methodology
Studies
Economic Development
Economic Factors
Population Characteristics
Demographic Factors
Population
Obstetrical Surgery
Surgery
Treatment
Diseases
Population Dynamics
Signs and Symptoms
Physiology
Biology