Is Peritoneal Closure Necessary?

Duffy, Daniel M.; diZerega, Gere S.

doi:10.1097/00006254-199412000-00005

Cited by 83 publications

(39 citation statements)

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“…Значительный экспериментальный опыт показывает, что ушивание брюшины способ-ствует образованию спаек [23]. Протезирова-ние или ушивание дефектов брюшины уве-личивает ишемию и некроз, предрасполагая к местному снижению фибринолитической активности и повышению спайкообразова-ния.…”

Section: анализ литературных данныхunclassified

Adhesive disease of the pelvic organs and abdominal cavity

Dronova¹,

Луценко²,

Теслюк³

et al. 2014

Reproductive Endocrinology

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This review presents recent data of domestic and foreign literature on the relevance of the problem of adhesive disease pelvic and abdominal cavities. Incidence of intra-abdominal adhesions varies from 67 to 93% after abdominal surgery, and is almost 97% after open gynecologic procedures. Most often adhesions are formed after operations on the abdominal organs; bleeding into the abdominal cavity; inflammation in the peritoneal cavity; in the presence of foreign bodies in the abdominal cavity; at a local tissue ischemia.Leading point of pathogenesis of adhesive disease is inflammation of the peritoneum, accompanied by disorders of local tissue metabolism, and desquamation of the mesothelium and loss of fibrin, that is leads to agglutination of serous membranes. Operations, often resulting in adhesive obstruction include surgery of the colon and rectum, gynecological surgery and emergency appendectomy.

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Section: анализ литературных данныхunclassified

Adhesive disease of the pelvic organs and abdominal cavity

Dronova¹,

Луценко²,

Теслюк³

et al. 2014

Reproductive Endocrinology

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“…Following a caesarean section, it has been standard practice to closure of the peritoneum. [1][2][3][4][5][6] as it was thought to possibly allow for (i) restoration of anatomy and approximation of tissues for healing; (ii) re-establishment of the peritoneal barrier to reduce the risk of infection; (iii) reduction of the risk of wound herniation or dehiscence; and (iv) minimizing adhesion formation. 1 The arguments against non-closure of peritoneum involve the following.…”

Section: Introductionmentioning

confidence: 99%

“…3) Non-closure of the peritoneum reduces the amount of surgical intervention and saves on valuable operating time and cost. 1,2,3,6,13,14,15,16 The objective of this study was to assess the effects of nonclosure and closure of the peritoneum at caesarean section.…”

Section: Introductionmentioning

confidence: 99%

Advantage of Non-Closure of the Peritoneum at Caesarean Section

Bhaumik¹

2016

jemds

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OBJECTIVETo determine advantage of non-closure of peritoneum at LSCS over of closure of peritoneum with regard to postoperative complications. STUDY DESIGNProspective randomized controlled trial. SETTINGTripura Medical College and Dr. BRAM Teaching Hospital, Hapania, Tripura. SUBJECTS AND METHODSThree hundreds term pregnant women undergoing first cesarean section were divided into 2 groups (N = 150). Group I: Non-closure of both visceral and parietal peritoneum. Group II: closure of both visceral and parietal peritoneum. Postoperative complications were compared. Adhesions were evaluated in 50 patients in each group returning for a second LSCS and compared for severity of adhesions. RESULTThere was statistical difference between group I and II for postoperative complications or number of adhesion formation. However, adhesions in the closure group were more severe. CONCLUSIONSNon closure of visceral and parietal peritoneum has benefit over closure of both visceral and parietal peritoneum at LSCS. So closure of visceral and parietal peritoneum may be avoided in LSCS.

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“…In addition, suture presence and additional tissue handling may contribute to adhesion formation and reduced surgical intervention and operating time is beneficial to the patient. Many studies showed no difference in short-term morbidity in the closure and the non-closure group [1][2][3]. However, there is still debate whether to adopt peritoneal non-closure or not because the long-term sequelae as adhesions is not yet clear [4].…”

Section: Introductionmentioning

confidence: 99%

Peritoneal Closure vs. Non-Closure: Estimation of Pelvic Fluid by Transvaginal Ultrasonography after Abdominal Hysterectomy

Al-Inany¹

2004

Gynecol Obstet Invest

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Objective: To determine the volume of pelvic fluid and febrile morbidity after hysterectomy in which the peritoneum was or was not closed. Design: Prospective single-center study. Participants: Fifty-four women undergoing abdominal hysterectomy were enrolled in the study. Patients were randomized into two groups according to peritoneal closure: group I (n = 28) in which the peritoneum was closed, and group II (n = 26) in which the peritoneum was left open. All participants had early postoperative transvaginal ultrasound. Outcome Measures: Volume of pelvic fluid accumulated after hysterectomy, total leukocytic count before and after hysterectomy, body temperature over the first 24 h, and wound healing. Results: There was a statistically significant difference between both groups regarding the volume of pelvic fluid collection, the duration of the operation and number of ampoules needed (p < 0.05). There was no statistically significant difference regarding body temperature, TLC, and wound complications. Conclusion: Peritoneal non-closure does not increase short-term morbidity, however it does cause an increase in peritoneal pelvic fluid. The impact of this on long-term sequelae as adhesions should be investigated.

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Is Peritoneal Closure Necessary?

Cited by 83 publications

References 0 publications

Adhesive disease of the pelvic organs and abdominal cavity

Adhesive disease of the pelvic organs and abdominal cavity

Advantage of Non-Closure of the Peritoneum at Caesarean Section

Peritoneal Closure vs. Non-Closure: Estimation of Pelvic Fluid by Transvaginal Ultrasonography after Abdominal Hysterectomy

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