Postoperative obstruction following caesarean section possibly due to non-closure of the peritoneum

Wal, C van der; Maharajan, Pushpakala Ajaya; Nicholls, J S D

doi:10.1080/01443610801931725

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…Two similar case reports published previously (2,3) raise the question regarding appropriateness of non-closure of the peritoneum. Properly designed trials on long term morbidity would enhance the debate surrounding closure versus non-closure of parietal peritoneum post c-section.…”

Section: Discussionmentioning

confidence: 70%

“…SBO secondary to herniation of segment of small bowel between intact rectus sheath and rectus muscle is extremely rare. This phenomenon, for which only two case reports exist in the published literature (2,3), could be related to non-closure of the parietal peritoneum. Despite the fact that non-closure of the parietal peritoneum at CS has become standard practice (4), many older obstetricians continue to advocate peritoneal closure as it has traditionally been associated with low morbidity.…”

Section: Introductionmentioning

confidence: 97%

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An unusual case of small bowel obstruction post caesarean section

Marchocki

Brennan

Mak

et al. 2011

Journal of Surgical Case Reports

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Section: Discussionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 97%

An unusual case of small bowel obstruction post caesarean section

Marchocki

Brennan

Mak

et al. 2011

Journal of Surgical Case Reports

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“…Adhesion was released and small bowel loop was reduced in the abdominal cavity, abdominal wall repair was done in layers. The patient recovered with no further complications [11].…”

Section: Similar Casesmentioning

confidence: 74%

Incisional Small-Bowel Strangulation after a Caesarean Section: A Case Report

Plume,

Bartusevicius,

Paskauskas

et al. 2024

Medicina

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Background and Objectives: Every surgical procedure has the possible risk of complications, and caesarean sections (CSs) are no exception. As CS rates are increasing worldwide, being familiar with rare but possible complications has become extremely important. Case report: We present a case of 25-year-old nulliparous patient who came to our hospital with twin pregnancy for a scheduled induction of labour. An urgent CS was performed due to labour dystocia. On the second postoperative day, the patient started to complain about pain in the epigastrium, but initially showed no signs of bowel obstruction, passing gas, and stools, and could tolerate oral intake. After a thorough examination, an early postoperative complication—small-bowel strangulation at the incision site—was diagnosed. Small bowels protruded in between sutured rectus abdominis muscle causing a strangulation which led to re-laparotomy. During the surgery, there was no necrosis of intestines, bowel resection was not needed, and abdominal wall repair was performed. After re-laparotomy, the patient recovered with no further complications. Conclusions: Although there are discussions about CS techniques, most guidelines recommend leaving rectus muscle unsutured. This case demonstrates a complication which most likely could have been avoided if the rectus muscle had not been re-approximated.

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“…Van Der Wal et al identified significant morbidity in a patient due to non-closure of the peritoneum at Day 9 post LSCS causing SBO necessitating release of adhesions. 4 Owen and Polson reported two cases of patients having significant morbidity due to non-closure of peritoneum post LSCS, one requiring a bowel resection for incarcerated ischaemic small bowel below the rectus sheath on Day 6 post-operatively, and the second resulting in damage to myometrium due to a densely adherent uterus to rectus muscle at 12 months post-operatively. 5 Traditional teaching has been that any abdominal incisions should be closed in layers.…”

mentioning

confidence: 99%