Cesarean Section Clinical Trial
Official title:
Effects of Closure Versus Non-closure of the Visceral and Parietal Peritoneum at Cesarean Section on Adhesions: A Prospective Randomized Study
Objective: To determine the effect of non-closure of the visceral and parietal peritoneum
during Cesarean section on the formation of adhesions.
Study design: A prospective randomized trial of 533 women undergoing primary Cesarean
section; 256 were randomized to non closure and 277 to closure of the peritoneum. At a
subsequent cesarean,he presence of adhesions and their severity was evaluated at several
sites: between the layers of the abdominal wall, between the bladder and the abdominal wall,
between bladder and uterus, between the uterus and the abdominal wall, and between the bowels
and the pelvic organs. A cumulative adhesion score was calculated.
n/a
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