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Revista Cubana de Obstetricia y Ginecología
versión On-line ISSN 1561-3062
Resumen
LEON CID, Iraisa et al. Postoperative complications in cesarean section without suture of peritoneal plane. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.3, pp. 333-343. ISSN 1561-3062.
The cesarean section is the surgical procedure more carried out in the world. This operation without peritoneal suture reports many advantages ant it is recommendable due to its simplicity, its easy performing and the saving of surgical time without less complications. OBJECTIVES: To describe the postpartum complications in women underwent without and with peritoneal suture cesarean section. METHODS: A prospective study was conducted to assess the surgical technique without peritoneal suture applied in 427 underwent cesarean section in the "Dr. Luis Díaz Soto" Military Medicine Higher Institute (MMHI) compared with a control group using the conventional technique with suture of both peritoneums from October, 2002 to March, 2006. Patients included underwent only one previous cesarean section and regional anesthesia. Different variable were studied: fever, urinary sepsis, endometritis, complications of abdominal wall, paralyticus ileus, therapeutical antibiotics use and postsurgical stage. For analysis we used the Chi2 test of homogeneity among groups and the t Student test with a significance level of 0.05. RESULTS: Less women from the study group has statistic significant complications including postoperative fever (15 % versus 22,9 %) ant the abdominal wall pathologies (74.5 % versus 25.5 %) with a marked reduction in the antibiotic prescription (11 % versus 26,6 %) and the postsurgical stage (4.1 and 5.0 days, respectively). CONCLUSIONS: It was evidenced that the rutine suture of peritoneal plane in cesarean section may be omitted in an accurate way and the result was less complications and a faster recovery.
Palabras clave : Cesarean section; peritoneal closure; endometritis.