approximation of both recti during lower segment cesarean section may be an important step to lower incidence of intraabdominal adhesions . peritoneal adhesions are of major medical importance and are associated with clinical problems such as chronic pain and infertility.
all patients included in the study should be had the operative history of the previous cesarean section and were done in the cairo university and divid them into 2 groups. 1st group were both recti approximated while the second group were closed without approximating both recti. all patients will be subjected to lower segment cesarean segment to assess the intraperitoneal adhesions, mean operative time, mean hospital stay, postoperative distension, bowel sounds, postoperative infections and morbidity
Study Type
OBSERVATIONAL
Enrollment
360
closure of both rectus muscle before closure of rectus sheeth
Cairo University
Cairo, Egypt
RECRUITINGassessment of the intraperitoneal adhesions post rectus muscle closure
assessment of adhesions bands between the pelvic organs and bowel
Time frame: intraoperative
mean operative time
calculate the mean time for closure of both recti
Time frame: intraopertive time
mean hospital stay
assess the postoperative time of hospital stay
Time frame: posoperative within first 48 hrs
mean postoperative bowel sounds
interval between operation and listening the bowel sounds
Time frame: posoperative within 24 hrs
postoperative distension
assessment of bowel distension postoperative
Time frame: posoperative within 24 hrs
postoperative morbidity and infections
assess the tempreture, scars
Time frame: posoperative within 1 week
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