[Non-closure of the visceral peritoneum during abdominal gynecological surgery].

OBJECTIVES AND STUDY DESIGN

The analysis of influence of closure and nonclosure of the visceral peritoneum during abdominal gynecological surgery was done.

MATERIALS AND METHODS

A postoperative course and late consequences (occurrence of adhesions) in the 427 patients were studied. There were two groups of patients: I group--203 patients who had visceral peritoneum closed, II group--224 patients who had visceral peritoneum non closed.

RESULTS

There were not significant differences in postoperative course in both groups. In the group where the visceral peritoneum was not closed occurrence of the adhesions was significantly decreased, when compared the group where the visceral peritoneum was closed.

CONCLUSIONS

1. Nonclosure of the visceral peritoneum doesn't increase the incidence of early postoperative complications. 2. Nonclosure of the visceral peritoneum during abdominal gynecological surgery decreased the incidence of adhesions. 3. Nonclosure of the visceral peritoneum prevents dislocation and ligation of the ureter.