peritonization in caesarean section

Discussion started by Anonymous
Started on Thu, 24/09/2009 - 13:36

is it better to do peritonization or not during caesarean section?

because in our hospital (in sudan) we do peritonization but women later came complain of pain because of adhesions...

Comments

peritonization in caesarean section

24/09/2009 - 20:55
naamat abeid

no need for peritonization i want the management of cervical ectopic pregnancy

management of cervical ectopic pregnancy

26/09/2009 - 10:43
wafaa mukhtar

Management options may be surgical or medical:
Systemic methotrexate is the initial treatment protocol. Resistant cases with persistent fetal cardiac-activity may be offered intraarterial or intrasac-methotrexate with intracardiac-potassium chloride.
Surgical interventions include cervical-circlage, intracervical-balloon-tamponade, vaginal packing after dilatation-curettage, ligation of the internal-iliac-artery and lastly hysterectomy.

peritonization in C/S

29/09/2009 - 18:20
Fred Faruna Achem

FOR SOME YEARS WE HAVE ABANDONED PERITONIZATION AND THE INCIDENCE OF POST OP PAIN HAS NOT BEEN ANY MORE FREQUENT.SOME OF OUR CASES HAVE COME BACK FOR REPEAT SECTIONS. WE ARE YET TO IDENTIFY ANY INCREASE IN ADHESION RATES AMONG SUCH CASES

peritonization in C/S

02/10/2009 - 19:29
wafaa mukhtar

there is increased in adhesion rates among cases of repeated sections,in some cases of third or fourth scars we can not identify the lower uterine segment,and we do window operation to take the baby out

Peritonization in caesarean section

19/01/2010 - 05:43
Asma Imran

To restore the surgical anatomy and to reapproximate the tissues peritonization must be done.

peritonization in CS

28/01/2010 - 14:52
Margaret Ann Harper

It is much better to gently close the parietal peritoneum after CS and so restore the anatomical planes and keep the omentum where it ought to be - inside the peritoneal cavity. Since peritonization was abandoned I have come across many problems not encountered when it was routine - loss of the anatomical planes with omentum everywhere making entry into the peritoneal cavity extremely difficult and time consuming, and even incisional hernia.

Association between

22/02/2010 - 11:28
Anthony Whelan 1

Association between peritoneal closure at primary cesarean section and significant adhesions at second cesarean section
J Surg Pak Jun 2007;12(2):56-9.

Objective: To evaluate impact of peritonization at primary cesarean section in terms of abdominopelvic adhesions at second cesarean section. Study design: A randomized trial. Patients & Methods: Women undergoing first cesarean delivery were randomized to either closure of both the visceral and parietal peritoneum (Group A, n =150) or non closure (Group B, n=150). At second cesarean, the variety and frequency of adhesions were examined. Results: The incidence of adhesions in the closure group was significantly higher than in the non closure group (p<0.05 ). The mean total operating time and the mean interval from skin incision to delivery in the closure group was significantly longer than in the non closure group ( P <0.05, P<0.05 respectively) at second cesarean section. Conclusions: Peritoneal closure in cesarean delivery is associated with significant adhesion formation. The practice of non-closure of peritoneum is therefore recommended.

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