الفهرس 
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Abstract
The aim of this study was to compare intra-operative and postoperative effects of exteriorized and in situ repair of the uterine incision at Caesarean Section (CS), Patients were assessed for parameters including , estimated blood loss as primary outcome and secondary outcomes including duration of uterine repair, nausea and vomiting, postoperative pain, postoperative fever and return of bowl function.
Two hundred women were randomly allocated in two groups, both groups were matched as regarding age, weight and height, the mean age was 23.4 ± 2.3 among patients of exteriorized uterine repair versus23.2 ± 1.7 among patients of the in-situ uterine repair (p-value > 0.05), mean weight and height in both groups had no statistical significance.
No statistically significant difference was detected between both groups regarding mean Gestational Age with mean GA of 38.6 in group 1 (in exteriorized group) versus 38.2 in group 2 (the in-situ group).
Difference between both treatment procedures as regards the intra-operative and postoperative complications was variable, the results of this study showed that the intra-abdominal repair was associated with much less intra-operative complications (nausea, vomiting and tachycardia) than the extra-abdominal repair with a significant difference among both groups (p < 0.05).
Also, there was no significant difference between the intra-abdominal and extra-abdominal uterine repair regarding hypotention, operative blood loss and hemoglobin level, the number of Vicryl ampoules required and the risk of postoperative febrile illness (p > 0.05), the duration of uterine repair was significantly shorter with exteriorized uterine repair (p-value < 0.05).
Time of return of bowl function was significantly longer among patients of exteriorized group (p-value < 0.05).