Closure of the peritoneum is not necessary in obstetric and gynecologic surgeries

Sharma, Jai Bhagwan

doi:10.1080/obs.81.1.80

Cited by 2 publications

(2 citation statements)

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“…Kerr mentioned the original approach of lower segment cesarean section surgery in 1926 and supported routine closure of the parietal peritoneum [8]. Most gynecology and obstetrics textbooks mention inadequate data to close the peritoneum but still advocate the routine closure of it at the end of cesarean sections and hysterectomy procedures [9]. The last twenty years witnessed much research which revealed better outcomes with leaving the peritoneum non-closed [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Non-closure of the peritoneum during open appendicectomy decreases postoperative analgesia requirement

Khalaf¹

2022

djm

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Background: Acute appendicitis is considered the most common surgical emergency in both adults and children. Open rather than laparoscopic appendectomy is still the most commonly performed procedure. Objective: To assess the effect of non-closure of the peritoneum during appendectomy on postoperative pain and finally on the analgesia requirement. Patients and Methods: Two hundred patients underwent appendicectomy. The patients were divided into two equal groups; each had one hundred patients. Group 1 (control or closure Group) in which, the peritoneum is closed; in group 2 (study or non-closure Group), the peritoneum is left alone without closing it. Results: The mean pain score in the non-closure group was less compared to that in the closure group. A significant decrease in parenteral analgesia requirements was shown in the non-closure group compared to the closure group. Conclusion: Leaving the peritoneum not sutured during appendicectomy has a positive outcome on postoperative pain and decreases the requirement for analgesia.

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