WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals
World Journal of Advance Healthcare Research (WJAHR) has indexed with various reputed international bodies like : Google Scholar , Index Copernicus , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , Cosmos Impact Factor , Scientific Indexing Services (SIS) , UDLedge Science Citation Index , International Impact Factor Services , International Society for Research Activity (ISRA) Journal Impact Factor (JIF) , IFSIJ Measure of Journal Quality , Scientific Journal Impact Factor (SJIF) , International Scientific Indexing, UAE (ISI) (Under Process) , International Impact Factor Services (IIFS) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

ISSN 2457-0400

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Indexing

Abstract

COMPARISON OF UTERINE EXTERIORIZATION AND IN SITU REPAIR DURING CESAREAN DELIVERY

Dr. Sedra Almousa Almaksour*, Sahar Hassan and Ahmad Yousef

ABSTRACT

Objective: The aim of this study was to determine the outcome of the different surgical methods of uterine repair after cesarean section. In addition to, comparison complications resulting from the surgery. Patients and Methods: Randomized clinical trial was conducted for the period one year (June 2021 – June 2022) at Tishreen University Hospital in Lattakia-Syria. The study included 100 pregnant women in term, who were divided into group1 included 50 pregnant women who underwent uterine exteriorization, and group 2 included 50 pregnant women with intraperitoneal repair. Results: The mean age was 24.1 ± 5.3 years, without significant differences between the two groups regarding gestational age, obstetric history, and indication of cesarean delivery(p>0.05). Operative time was longer in group2 without significant difference (40.6±2.2 vs 36.8±4.2, p:0.06). Surgical site infection and endometritis were more frequent in group 1 without significant difference (4% vs 2%) and (4% vs 2%) respectively, p:0.5. Pain was mild (VAS 1-3) in 44%, moderate (VAS 4-6) in 52%, and severe (7-10) in 4% of the women in group 1 versus 60%,38%, and 2% in group 2 respectively(p>0.05). The percentage of cases who had blood loss more than 400 ml were more frequent in group2(70% vs 56%, p>0.05). In addition to, return of the bowel sound was significantly faster in group 2(12±0.4 vs 15.9±0.5), p:0.04. Conclusion: Intraperitoneal repair of the uterine incision during cesarean delivery was better compared to uterine exteriorization method regarding bowel function outcome.

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