DOI: 10.36347/sjams.2014.v02i06.076

Pages: 3238-3246

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.