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https://journals.lww.com/greenjournal/Fulltext/2005/08000/Peritoneal_Closure_at_Primary_Cesarean_Delivery.11.aspx
Conclusion: Parietal peritoneal closure at primary cesarean delivery was associated with significantly fewer dense and filmy adhesions. The practice of nonclosure of the parietal peritoneum at cesarean delivery should be questioned.
https://www.researchgate.net/publication/7689710_Peritoneal_Closure_at_Primary_Cesarean_Delivery_and_Adhesions
Parietal peritoneal closure at primary cesarean delivery was associated with significantly fewer dense and filmy adhesions. The practice of nonclosure of the parietal peritoneum at cesarean ...
http://journals.lww.com/obgynsurvey/Abstract/2006/01000/Peritoneal_Closure_at_Primary_Cesarean_Delivery.9.aspx
Patients having closure of the parietal peritoneum at initial cesarean section had significantly fewer dense and filmy adhesions than when it was not closed (52% vs 73%). This effect held for adhesions between the omentum and fascia, omentum and uterus, and fascia and uterus. The risk of bowel adhesions did not differ significantly.
https://ohsu.pure.elsevier.com/en/publications/peritoneal-closure-at-primary-cesarean-delivery-and-adhesions-3
Aug 01, 2005 · Omental-fascial adhesions were decreased most consistently. Conclusion: Parietal peritoneal closure at primary cesarean delivery was associated with significantly fewer dense and filmy adhesions. The practice of nonclosure of the parietal peritoneum at cesarean delivery …Author: Deirdre J. Lyell, Aaron B. Caughey, Emily Hu, Kay Daniels
https://www.mdedge.com/obgyn/article/62839/peritoneal-closure-c-section-reduces-risk-adhesions
Dr. Liem is correct that studies evaluating adhesion formation after closure of the peritoneum (versus nonclosure) have yielded mixed results. For example, in a non-randomized study, Lyell and colleagues 1 found closure of parietal peritoneum at cesarean delivery to be associated with less adhesion formation than nonclosure. Although these investigators excluded cases involving permanent sutures, they did not describe the type of sutures used to close the peritoneum.
https://www.sciencedirect.com/science/article/pii/S0002937811009495
Study Design. This was a prospective randomized trial of 533 women undergoing primary cesarean section; in 256 the peritoneum was left open and in 277 it was closed. Fifty women in the nonclosure group and 47 women in the closure group were subsequently evaluated intraoperatively at a repeat cesarean.Author: Victoria Kapustian, Eyal Y. Anteby, Michael Gdalevich, Simon Shenhav, Ofer Lavie, Ofer Gemer
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