Peritoneal closure - to close or not to close
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).
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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.
|Subjects:||R Medicine > RG Gynecology and obstetrics|
|Divisions:||University Structure - Pre August 2011 > School of Medicine > Developmental Origins of Health and Disease
|Date Deposited:||14 Aug 2007|
|Last Modified:||25 Apr 2013 15:46|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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