Irion O, Luzuy F, Béguín F
Hôpital Saint-Françoìs d'Assìse, Département de Gynécologieeet d'Obstétrique, Université Laval, Québec, Canada.
Br J Obstet Gynaecol. 1996 Jul;103(7):690-4. doi: 10.1111/j.1471-0528.1996.tb09839.x.
To assess the short term morbidity of nonclosure of the peritoneum at caesarean section.
Women undergoing a lower segment caesarean section were randomly allocated to either closure or nonclosure of the visceral and parietal peritoneum.
Tertiary Care University Hospital of Geneva.
Length of post-operative hospital stay. Other outcomes include maternal pain as assessed by both a visual analogue scale and the amount of post-operative analgesics administered, post-operative ileus, and febrile morbidity. Operative time was recorded.
We allocated 137 women to the nonclosure group and 143 to the closure group. Population characteristics were similar between groups. The mean length of hospital stay was 6.5 (SD 1.9) days for the nonclosure group and 6.8 (SD 2.2) days for the closure group (P = 0.21). No differences were found in the level of post-operative pain, the number of analgesic doses given, nor in the proportion with febrile morbidity. Post-operative ileus resolved later in the closure group (P = 0.006). The mean operative time was shorter by 6 min (P = 0.006) in the nonclosure group.
Short term post-operative morbidity and maternal pain are not increased by a shorter and more simple surgical procedure in which the peritoneum is left unsutured.
评估剖宫产术中不缝合腹膜的短期发病率。
接受下段剖宫产的女性被随机分配至缝合或不缝合脏腹膜和壁腹膜组。
日内瓦三级护理大学医院。
术后住院时间。其他观察指标包括通过视觉模拟评分法评估的产妇疼痛情况以及术后给予的镇痛药物剂量、术后肠梗阻和发热发病率。记录手术时间。
我们将137名女性分配至不缝合组，143名女性分配至缝合组。两组人群特征相似。不缝合组的平均住院时间为6.5（标准差1.9）天，缝合组为6.8（标准差2.2）天（P = 0.21）。术后疼痛程度、给予的镇痛药物剂量以及发热发病率比例均未发现差异。缝合组术后肠梗阻缓解时间更晚（P = 0.006）。不缝合组的平均手术时间短6分钟（P = 0.006）。
采用不缝合腹膜这种更简短、更简单的手术方式，术后短期发病率和产妇疼痛不会增加。
