DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20171959

Evaluation of postoperative pain in closure versus non-closure of parietal peritoneum at caesarean section

Avantika Sharma, Nupur Hooja, Apoorv Shastri, Brijesh Dadhich, Richa Manish

Abstract


Background: Pain is one of the major discomfort which drives post caesarean mothers to seek help. Thus, it is important to know if any change in surgical technique could have effect on the post-operative pain which affects all the woman’s activities. Hence, the study was undertaken to study the effect of closure and non-closure of parietal peritoneum on postoperative pain.

Methods: It was a hospital based interventional study done in a tertiary care hospital over one year. Detailed history, investigations, operative details, postoperative outcome in terms of pain were recorded and analysed.

Results: Women in the closure group had more postoperative pain. P value was highly significant at 8h (P=0.0001), 16h (P=0.0001), 24h (P=0.00001) and 32h (P=0.000001), 40 hour (P=0.00001) and 48h (P=0.0001).

Conclusions: Peritoneal should not be closed routinely in caesarean sections as it is shown to cause less postoperative pain.


Keywords


Caesarean, Closure, Non-closure, Peritoneum

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References


Deshpande H, Burute SB, Madkar CS, Dahiya P. The effect of suturing and non-suturing of visceral and parietal peritoneum on postoperative pain in caesarean section. Int J Pharm Biomed Sci. 2012, 3(4);164-6.

Arias F, Bhide AG, Arulkumaran S, Damania K, Daftary SN, editors. Practical guide to high risk pregnancy and delivery. Elsevier health sciences; 2012.

Bamigboye AA, Hofmeyr GJ. Closure versus non-closure of the peritoneum at caesarean section. Cochrane Database of Systematic Review; 2007.

Mehack R, Torgerson WS. On the language of pain. Anaesthesiol. 1971;34(1):50-9.

Tabasi Z, Mahdian M, Abedzadeh-Kalahroudi M. Closure or non-closure of peritoneum in cesarean section: outcomes of short-term complications. Arch Trauma Res. 2013;1(4):176.

Noreen S, Alam M, Khan WY, Sultana R, Gul SA comparison of peritoneal closure with non-closure for short term morbidity in emergency lower segment cesarean section KJMS. J. 2015; 8(1):76-9.

The CAESAR study collaborative group. Caesarean section surgical techniques: a randomised factorial trial (CAESAR). BJOG 2010;117:1366-76.

Group TC. Caesarean section surgical techniques (CORONIS): a fractional, factorial, unmasked, randomised controlled trial. 2013; 382(9888):234-48.

Fahmy MM, Saleh SA, Khouly NIE, Zahrane RA. Short-term effect of closure versus non-closure of peritoneum at cesarean section. Life Sc J. 2015;12(2)60-3.

Kurek Eken M, Özkaya E, Tarhan T, İçöz Ş, Eroğlu Ş, Kahraman ŞT, Karateke A. Effects of closure versus non-closure of the visceral and parietal peritoneum at cesarean section: does it have any effect on postoperative vital signs? A prospective randomized study. J Maternal-Fetal Neonatal Medicine. 2016:1-5.

Agarwal N. Agarwal BK. Effect of non closure of peritoneum on outcome of caesarean Section - a prospective randomised control study. IJSR - Int J Sci Res. June 2015;806-17.