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Peritoneal non-closure at caesarean section.

C S Wilkinson¹, M W Enkin

¹Department of Perinatal Medicine/University Department of Obstetrics & Gynaecology, Women's and Children's Hospital, 72 King William Road, North Adelaide, South Australia, Australia, 5006. cwilkins@medicine adelaide.edu.au.

The Cochrane Database of Systematic Reviews

|May 5, 2000

Summary

This summary is machine-generated.

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See all related articles

Omitting peritoneal closure during caesarean section (C-section) saves operative time without increasing short-term maternal morbidity. This review found no significant differences in postoperative outcomes, suggesting non-closure is a safe alternative.

Area of Science:

Obstetrics and Gynecology
Surgical Techniques
Evidence-Based Medicine

Background:

The practice of suturing the peritoneum during caesarean section (C-section) is standard, but its necessity is debated.
Some evidence suggests omitting peritoneal closure may be safe and efficient.

Purpose of the Study:

To evaluate the impact of non-closure versus closure of the peritoneum during C-sections on surgical and immediate postoperative outcomes.

Main Methods:

A systematic review of controlled trials was conducted using the Cochrane Pregnancy and Childbirth Group trials register.
Included trials compared non-closure of the visceral and/or parietal peritoneum with standard suturing techniques in women undergoing C-sections.

Main Results:

Related Experiment Videos

Four trials involving 1194 women were analyzed.

Non-closure of the peritoneum significantly reduced operating time by an average of 6.12 minutes.

No significant differences were observed in postoperative morbidity, pain management needs, or hospital stay duration.

Conclusions:

Non-closure of the peritoneum during caesarean section appears to be a safe practice with no significant short-term adverse effects on maternal morbidity.
The procedure offers a potential benefit by reducing operative time.