Tulandi Togas, Al-Jaroudi Dania
Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada.
Am J Obstet Gynecol. 2003 Aug;189(2):609-12. doi: 10.1067/s0002-9378(03)00299-0.
In our specialty, the practice of closing or not closing the peritoneum is still being debated. Our purpose was to review the literature on the subject, to evaluate the advantages and disadvantages of the procedure, and to provide clinical opinions. Closure of the peritoneum either parietal or visceral peritoneum is unnecessary, it is associated with a slightly longer operating time and more postoperative pain, and there are some suggestions that it might cause more adhesion formation. There are more advantages than disadvantages to not closing the peritoneum. We encourage clinicians not to close both parietal and visceral peritoneum.
在我们这个专业领域，关于是否关闭腹膜的做法仍存在争议。我们的目的是回顾关于该主题的文献，评估该操作的优缺点，并提供临床意见。关闭腹膜，无论是壁层腹膜还是脏层腹膜，都是不必要的，它会导致手术时间略长和术后疼痛加剧，并且有一些迹象表明它可能会导致更多粘连形成。不关闭腹膜利大于弊。我们鼓励临床医生不要关闭壁层和脏层腹膜。
