Closure versus Non-Closure of the Rectus Muscle at Cesarean Section | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 96, Volume 89, Issue 1, October 2022, Pages 4740-4746 PDF (580.5 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2022.260593 | ||
| Author | ||
| Mahmoud Mahmoud Mohamed Abdelalim* | ||
| Abstract | ||
| Background: A lower transverse abdominal scar and varying degrees of weakening of the abdominal muscles are both side effects of caesarean section (CS). Many methods have been documented, and there is considerable variation in approach from surgeon to surgeon. Objective: To compare closure and non-closure of the rectus muscle during primary CS as regard early postoperative outcomes and effect on abdominal contour. Subjects and Methods: This research was conducted using a randomized controlled trial design. It took place between January 2015 and July 2015 at the Labor/delivery wards of Ain Shams University Maternity Hospital and El-Galaa Teaching Hospital. A total of 124 women were approached, of them 110 were eligible and were enrolled in the study and randomly allocated into 2 equal Groups, Group I Rectus closure and Group 2 Rectus non-closure, the finally analyzed cases were 52 and 49 respectively. Results: The mean operative time was statistically significantly longer in women of group I. The mean time to postoperative bowel movement was statistically slightly longer in women of group I; the difference was, however, statistically insignificant [mean difference = 0.75 hours, 95% CI (-0.19 to 1.69), p=0.115]. Conclusion: Closure of the rectus muscles during CS seems to be associated with longer operative time and comparable postoperative pain, bowel recovery time and patient’s satisfaction about her abdominal contour over 12 weeks postpartum. | ||
| Keywords | ||
| Closure; Rectus Muscle; Cesarean Section | ||
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