Comparison of Primary Outcomes in Extra-Abdominal Versus Intra-Abdominal Uterine Repair at Caesarean Section: A Comparative Study

Sanum Kashif; Asia Hanif

doi:10.37185/Lns.1.1.185

Sanum Kashif Combined Military Hospital (CMH), DI Khan
Asia Hanif General Hospital, Jhelum Cantt

DOI: https://doi.org/10.37185/Lns.1.1.185

Keywords: Caesarean Section, Extra-Abdominal Repair, Intra-Abdominal Repair Intra-Operative Complications, Uterine Exteriorization.

Abstract

Objective: To compare extra-abdominal repair of uterine incision, in caesarean section with in situ repair, in terms of duration of surgery.
Study Design: Comparative study.
Place and Duration of Study: The study was conducted in Gynae and Obstetrics Department of CMH Abbottabad from May 2016 to Nov 2017.
Materials and Methods: A total of 362 patients were randomized by creating permuted blocks of 6. In Group A (n=181), uterus was exteriorized, following delivery of baby and in Group B (n=181) in-situ repair of uterus was performed. Lower segment cesarean section (LSCS) with Pfannenstiel incision was made, with uterine repair in two layers. Data was collected by the trainee herself on the annexed pro forma. SPSS version 20 was used for data analysis.
Results: The mean age of participants was 29.57 ± 5.79 years while mean age in group-A was 29.09 ± 5.52 years and in group-B was 30.04 ± 6.02 years. The mean gestational age in group-A and group-B was 37.26 ± 3.05 weeks and 37.24 ± 2.98 weeks respectively. The mean operative time in group-A was significantly lower (34.90 ± 5.84 minutes) then group-B (36.25 ± 6.36 minutes), p-value = 0.036 (< 0.05)
Conclusion: The surgical time in extra abdominal uterine repair in caesarean sections was significantly short as compared to intra-abdominal repair, so exteriorization of uterus is more advantageous than in situ repair in terms of postoperative recovery.

How to cite this: Kashif S, Hanif A. Comparison of Primary Outcomes in Extra-Abdominal Versus Intra-Abdominal Uterine Repair at Caesarean Section: A Randomized Controlled Trial. Life and Science. 2022; 3(2): 79-82. doi: http://doi.org/10.37185/LnS.1.1.185

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