Abstract

obstetrics. Temporary removal of the uterus from the abdominal cavity (exteriorization) has been postulated as a valuable technique for repair of the uterine incision. Therefore this study was done to compare the effects of uterine exteriorization and in situ repair on caesarean section morbidity. Methodology - 200 pregnant women with a caesarean delivery indication were randomly assigned as 100 patients each to the exteriorization group and the in-situ group in this prospective, randomized, comparative study. For statistical analysis, information on post-operative morbidities, intra-operative blood loss, and mean time taken for uterine incision closure was gathered and compared between the two groups. Results - Exteriorization of uterus at caesarean section has the advantage of less operating time, less intraoperative blood loss and therefore less perioperative haemoglobin fall, good exposure, good access to incision angles, specially when the angles are extended in case of difficult extraction. There is easy identification of uterine anomaly, adnexal mass if present, easy exposure of the posterior aspect of uterus especially of the lower segment in case of obstructed labour. Conclusion – we concluded that exteriorization of uterus at caesarean section can be a valid option as it has many advantages over in situ repair with no harmful effects.

Description