الفهرس | Only 14 pages are availabe for public view |
Abstract Cesarean section is the most common surgical procedure performed by obstetricians. Caesarean section is also one of the most frequently performed surgical procedures worldwide. In general, rates around the world are from about 5% to over 40% of all deliveries. There are many operative techniques of performing a CS. The techniques used depend on many factors including the clinical situation and the preference of the operator. Closure of the parietal peritoneum at CS has long been advocated in traditional surgical teaching. The reason for this is to establish normal anatomical relations, to prevent adhesion formation, to reduce the risk of infection and to reduce the risk of herniation or dehiscence and maintaining standard surgical practice. However, the advantages of this technique have not been proved by prospective randomized trials. Prior animal experiments and general surgery reports have shown that peritoneal closure tends to cause tissue ischemia, inflammation, and foreign body reactions to suture material. These factors may slow down the healing process and are considered important precursors for adhesion formation. Peritoneum is a mesothelial organ. In contrast to epidermal repair, where healing occurs gradually from wound borders, peritoneum heals simultaneously throughout the wound because mesothelial cells initiate multiple sites of repair. If the peritoneum is left open, experimentalstudies have shown that a spontaneous healing will appear within 48–72 hours after injuring the peritoneum with complete healing after five to six days. |