Nonclosure of peritoneum;

Introduction: This study reflects the comparison between closure Vs nonclosureof peritoneum during Caesarian section. Objectives: The aims of study are: 1. To makea comparative trial between closure versus nonclosure of peritoneum during cesarean section.2. To know the requirement of postoperative analgesia in each group of patients. Study Design:A randomized controlled trial. Setting: Department of Obstetrics and Gynaecology, Arar CentralHospital, North Zone, Kingdom of Saudi Arabia. Duration of Study with Dates: The durationof study was six months from 02-07-2012 to 01-01-2013. Subjects and Methods: A total of170 patients (85 in each group) were included in this study. Parietal peritoneum was closedusing a continuous absorbable suture in closure group. In non-closure group both layers wereremained unsutured. Results: Both groups of patients had equal availability of analgesia, butthe women in the non closure group used significantly less mean number of narcotic analgesicdoses during the first 24 hours after cesarean section. Besides, the operation time and exposureto anesthesia was found less in the non-closure group. Conclusion: Non-closure of peritoneumat caesarean section produces a significant reduction in postoperative analgesic requirement.