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Peritoneal closure - to close or not to close

Peritoneal closure - to close or not to close
Peritoneal closure - to close or not to close
Peritoneal closure is a controversial issue among obstetricians and gynaecologists. This article reappraises the issue of peritoneal closure. We conducted a thorough literature search using Medline, Pubmed and Embase as well as a hand-search for all references quoted in the relevant papers. The routine non-closure of the peritoneum reduces operation time by an average of 6 min. Most studies showed no difference in the other outcome measures including infection/febrile episodes, analgesic/anaesthetics requirement, bowel function restoration, post-operative stay and adhesion formation. There are insufficient data concerning adhesion formation. In conclusion, apart from a slightly shorter operation time associated with non-closure of the peritoneum, many studies showed no difference in short-term morbidity in the closure and the non-closure group. More studies are needed to examine the long-term morbidity associated with the closure or the non-closure of the peritoneum.

1548-1552
Cheong, Ying-Ching
4efbba2a-3036-4dce-82f1-8b4017952c83
Bajekal, Nitu
75c459b6-3dbd-4d1d-89ce-32df8d2f2759
Li, Tin-Chiu
12800d17-18d8-44f0-89bc-e005ddec4d71
Cheong, Ying-Ching
4efbba2a-3036-4dce-82f1-8b4017952c83
Bajekal, Nitu
75c459b6-3dbd-4d1d-89ce-32df8d2f2759
Li, Tin-Chiu
12800d17-18d8-44f0-89bc-e005ddec4d71

Cheong, Ying-Ching, Bajekal, Nitu and Li, Tin-Chiu (2001) Peritoneal closure - to close or not to close. Human Reproduction, 16 (8), 1548-1552. (doi:10.1093/humrep/16.8.1548).

Record type: Article

Abstract

Peritoneal closure is a controversial issue among obstetricians and gynaecologists. This article reappraises the issue of peritoneal closure. We conducted a thorough literature search using Medline, Pubmed and Embase as well as a hand-search for all references quoted in the relevant papers. The routine non-closure of the peritoneum reduces operation time by an average of 6 min. Most studies showed no difference in the other outcome measures including infection/febrile episodes, analgesic/anaesthetics requirement, bowel function restoration, post-operative stay and adhesion formation. There are insufficient data concerning adhesion formation. In conclusion, apart from a slightly shorter operation time associated with non-closure of the peritoneum, many studies showed no difference in short-term morbidity in the closure and the non-closure group. More studies are needed to examine the long-term morbidity associated with the closure or the non-closure of the peritoneum.

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More information

Published date: August 2001

Identifiers

Local EPrints ID: 47952
URI: http://eprints.soton.ac.uk/id/eprint/47952
PURE UUID: 9782dad2-5b21-43bf-ada5-867fcc72041c
ORCID for Ying-Ching Cheong: ORCID iD orcid.org/0000-0001-7687-4597

Catalogue record

Date deposited: 14 Aug 2007
Last modified: 16 Mar 2024 03:57

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Contributors

Author: Nitu Bajekal
Author: Tin-Chiu Li

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