WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

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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