To Study the Effects of Closure Vs Non-Closure of Parietal Peritoneum on Adhesion Formation in Caesarean Section
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 6
Abstract
This study was done to evaluate the effects of closure versus non closure of parietal peritoneum at primary caesarean section on adhesion formation at repeat caesarean section. This study was conducted in St. Theresa’s hospital Hyderabad from August 15th 2010- August 15th 2012. A total of 130 women were studied. Of them 64 women were included in non closure group and 66 women were included in the closure group. Of the 64 women in nonclosure group 36 women had adhesions. Of these 36 women 24 women had flimsy adhesions, 6 women had dense adhesions and 5 women had both flimsy & dense adhesions. Among these 36 women 34 women had emergency caesarean section and 2 women had elective caesarean section. Of the 66 women in closure group 30 women had adhesions. Of these 30 women 24 women had flimsy adhesions, 5 women had dense adhesions and 1 woman had both flimsy and dense adhesions. Among them 24 women had emergency caesarean section and 6 women had elective caesarean section. Adhesions in repeat caesarean section are not influenced by either the closure or non closure of parietal peritoneum in primary caesarean section. There is no significant difference with regards to severity of adhesions between both the groups. Adhesions in repeat caesarean section are not influenced by timing of caesarean section. There is no significant difference between both the groups regarding adhesions at single site and multiple sites. Carefully planned prospective studies in the future will be necessary to verify if indeed closure of the parietal peritoneum is better than, the same as or worse than non –closure. Keywords: Adhesions, Caesarean section, Closure of parietal peritoneum, Non-Closure of parietal peritoneum, Flimsy, Dense.
Authors and Affiliations
Aravinda. K, Ashiwini, Leela D, Murthy N. V. R. , Aparna .
Syringocystadenoma Papilliferum in an Unusual Location – A Rare Presentation
Syringocystadenoma papilliferum is an uncommon benign tumor of disputed histogenesis, with a predilection for the scalp and forehead. Less common sites of involvement are the chest, upper arms, male breast,eyelids, scrot...
Perinatal Outcome in Pre-Eclampsia: A Prospective Study
Preeclampsia is one of the common conditions of unknown etiology which increases the risk of maternal and perinatal morbidity and mortality. The aim of the study was to determine the neonatal outcome in babies born to pr...
Relation of Climate Droplet Keratopathy (CDK) with Occupation and Other Diseases
Climatic droplet keratopathy (CDK) is an acquired degeneration of the cornea. Climatic droplet keratopathy consists of a degenerative change that occurs in the cornea and is characterized by the accumulation of aggregate...
Prospective Study of Alcohol Use and Effect of Acoustic Stimulus with Different Tone in Alcoholic Men
National Sample Survey (NSS) reported that top most reason of sensory deficit and second most common cause of disability in Indian households is hearing disability.The development of hearing loss is influenced by various...
Assessment of Lipid Peroxide and Lipid Fractions in Type 2 Diabetics with and Without Glycemic Control
Diabetes mellitus is a Heterogenous and chronic metabolic disorder with a rapidly increasing prevalence globally. Oxidative stress may play a crucial role in pathophysiology of type 2 diabetes mellitus by increasing insu...