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Uterine incision closure at caesarean section : a randomised comparative study of intraperitoneal closure and closure after temporary exteriorisation . BACKGROUND The safety of the technique of uterine exteriorization at caesarean section though popular among obstetricians , remains controversial . OBJECTIVE To evaluate the influence of exteriorization of uterus during uterine repair on caesarean morbidity . METHODS A randomized comparative study of 136 women undergoing primary caesarean delivery at Havana Specialist Hospital Lagos Nigeria . Data on operation time , estimated blood loss , postoperative morbidities were collected and analysed with comparison between the two groups using chi square , Fischer 's exact test and t-test as appropriate . RESULTS The mean operative time , estimated blood loss , transfusion rate and postoperative anemia rate were significantly less in the exteriorized group than the intraperitoneal group ( p = 0.000 , 0.009,0.048 0.038 and 0.028 respectively ) , but not in other outcome measures . CONCLUSION With shorter operative time , less blood loss and similar morbidity profile exteriorization of uterus during caesarean section seems to be preferred except where it is not possible because of adhesions and surgeons inexperience .
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Intervention_Surgical
intraperitoneal closure and closure after temporary exteriorisation .
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Intervention_Surgical
technique of uterine exteriorization at caesarean section
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Outcome_Other
mean operative time
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Outcome_Physical
estimated blood loss
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Outcome_Other
transfusion rate
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Outcome_Physical
postoperative anemia rate
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Participant_Sample-size
136
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Participant_Sex
women
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Participant_Condition
primary caesarean delivery