Comparison between the Effect of Rectus Muscle and peritoneum closure Versus Nonclosure in repeated Caesarean Section on Postoperative Pain: A Randomized Controlled Trial | ||||
| Benha Medical Journal | ||||
| Article 22, Volume 40, Issue 1, May and June 2023, Page 246-253 PDF (648.5 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2023.175567.1713 | ||||
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| Authors | ||||
ahmed baioumy  ; Hatem Elgendy
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| Department of Obstetrics and Gynecology ,benha faculty of medicine | ||||
| Abstract | ||||
| ABSTRACT Aim: To compare the effect of rectus muscle and peritoneum closure versus non closure during repeated Cesarean Section on postoperative pain. Study Design: A prospective, single-blinded, randomized clinical trial. Patients and Methods: It included (n=100) patients who underwent repeated Cesarean section. They were randomly allocated into two groups; Group (A): non-closure of rectus muscle and peritoneum , Group (B): closure . Postoperative pain was assessed by visual analogue scale during hospital stay. Postoperative analgesia, amount of blood loss and occurrence of postoperative complications were also analyzed. Results: Women with non-closure technique had significantly lower visual analogue score (VAS) at the end of 1st 48 hours postoperative (2.86 ± 1.61) in comparison to other group. Women who underwent closure had no difference as regard VAS (4.26 ± 2.19 vs. 4.80 ± 2.36; P value = 0.19). Regarding postoperative analgesia intake, women with non-closure had a significant lower intake of analgesic drugs (170.76 ± 30.85 mg) in comparison to other group. Conclusion: Rectus muscle and peritoneal approximation is associated with significant increase in postoperative pain and analgesia. | ||||
| Keywords | ||||
| : Cesarean section; postoperative analgesia; postoperative pain; rectus muscle closure | ||||
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