European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 147, Issue 1 , Pages 3-8 , November 2009

To close or not to close? A systematic review and a meta-analysis of peritoneal non-closure and adhesion formation after caesarean section

  • Y.C. Cheong

      Affiliations

    • University of Southampton, Level F, Princess Anne Hospital, Coxford Road, Southampton, SO16 5YA, United Kingdom
    • Corresponding Author InformationCorresponding author. Tel.: +44 023 806033.
    • ,
  • G. Premkumar

      Affiliations

    • University of Southampton, Level F, Princess Anne Hospital, Coxford Road, Southampton, SO16 5YA, United Kingdom
    • ,
  • M. Metwally

      Affiliations

    • University of Sheffield, Jessop Wing, Royal Hallamshire Hospital, Sheffield S10 2JF, United Kingdom
    • ,
  • J.L. Peacock

      Affiliations

    • University of Southampton, Level F, Princess Anne Hospital, Coxford Road, Southampton, SO16 5YA, United Kingdom
    • ,
  • T.C. Li

      Affiliations

    • University of Sheffield, Jessop Wing, Royal Hallamshire Hospital, Sheffield S10 2JF, United Kingdom

Received 5 August 2008 ,Revised 20 March 2009 ,Accepted 7 June 2009.

References 

  1. Duffy DM, diZerega GS. Is peritoneal closure necessary?. Obstet Gynecol Suv. 1994;49:817–822
  2. Peritoneal closure, Guideline 15. United Kingdom: Royal College of Obstetricians and Gynaecologists; 2002;
  3. Bamigboye AA, Hofmeyr GJ. Closure versus non-closure of the peritoneum at caesarean section. Cochrane Database of Systematic Reviews 2003, Issue 3. Art. No.: CD000163. doi:10.1002/14651858.CD000163.
  4. Cheong YC, Bajekal N, Li TC. Peritoneal closure—to close or not to close. Hum Reprod. 2001;16:1548–1552
  5. Ray N, Denton W, Thamer M, Henderson S, Perry S. Abdominal adhesiolysis: inpatient care and expenditure in the United States in 1994. J Am Coll Surg. 1998;186:1–9
  6. Holmdahl L, Risberg B. Adhesions: prevention and complications in general surgery. Eur J Surg. 1997;163:169–174
  7. Lyell DJ, Caughey AB, Hu E, Daniels K. Peritoneal closure at primary caesarean delivery and adhesions. Obstet Gynaecol. 2005;106:275–280
  8. Weerawetwat W, Buranawanich S, Kanawong M. Closure vs non-closure of the visceral and parietal peritoneum at caesarean delivery:16 year study. Med Assoc Thai. 2004;87:1007–1011
  9. Zareian Z, Zareian P. Non-closure versus closure of peritoneum during caesarean section: A randomized study. Eur J Obstet Gynaecol Reprod Biol. 2006;128:267–269
  10. Stark M, Chavkin Y, Kupfersztain C, Guedj P, Finkel AR. Evaluation of combinations of procedures in Caesarean section. Int J Gynaecol Obstet. 1995;48:273–276
  11. McNally OM, Curtain AC. Does closure of the peritoneum during caesarean section influence postoperative morbidity and subsequent bladder adhesion formation?. J Obstet Gynaecol. 1997;17:239–241
  12. Nather A, Zeisler H, Sam CE, Husslein P, Joura EA. Non-closure of peritoneum at caesarean delivery: Evaluation of the repeat caesarean sections. Wien Klin Wochenschr. 2001;113:451–453
  13. Myers SA, Bennett TL. Incidence of significant adhesions at repeat caesarean section and relationship to method of prior peritoneal closure. J Reprod Med. 2005;50:659–662
  14. Hamel KJ. Incidence of adhesions at repeat caesarean delivery. Am J Obstet Gynecol. 2007;196:e31–32
  15. Roset E, Boulvain M, Irion O. Nonclosure of the peritoneum during caesarean section:longterm followup of a randomized controlled trial. Eur J Obstet Gynecol Reprod Biol. 2003;108:40–44
  16. Zhu Y, Qunxi C, Weiiling W. Closure vs non-closure of the peritoneum at caesarean delivery. Int J Gynecol Obstet. 2006;94:103–107
  17. Komoto Y, Shimoya K, Shimizu T, et al. Prospective study of non-closure or closure of the peritoneum at caesarean delivery in 124 women: impact of prior peritoneal closure at primary caesarean on the interval time between first caesarean section and the next pregnancy and significant adhesion at second caesarean. J Obstet Gynaecol. 2006;32:396–402
  18. Kroon N, Reginald PW. Parietal peritoneal closure at caesarean section revisited. J Obstet Gynaecol. 2007;27:159–160
  19. In:  De Cherney AH,  Polan ML,  Montz FJ,  Shimanuki T,  diZerega GS editor. Postsurgical mesothelial re-epithelialization. Chicago: Reproductive Surgery Yearbook; 1987;
  20. Holmdahl L. The role of fibrinolysis in adhesion formation. Eur J Surg Suppl. 1997;577:24–31
  21. Pschera H, Kjaeldgaard A, Larsson B. Fibrinolytic activity in amniotic fluid during late pregnancy. Acta Obstet Gynecol Scand. 1986;65:417–420
  22. Lacey JT. The prevention of peritoneal adhesions by amniotic fluid. Ann Surg. 1930;92:281–293
  23. Liakakos T, Thomakos N, Fine PM, Dervenis C, Young RL. Peritoneal adhesions: etiology pathophysiology and clinical significance. Digest Sur. 2001;18:260–273
  24. Luijendijk RW, de Lange DC, Wauters CC, et al. Foreign material in postoperative adhesions. Ann Surg. 1996;223:242–248
  25. Collin SM, Marshall T, Filippi V. Caesarean section and subsequent fertility in Sub-Saharan Africa. BJOG. 2006;113:276–283
  26. McGory M. Small bowel obstruction: a common problem. Adhes News Views. 2007;11:18–20
  27. Duffy DM, di Zerega GS. Adhesion controversies: pelvic pain as a cause of adhesions, crystalloids in preventing them. J Reprod Med. 1996;41:19–26
  28. Paajanen H, Julkunen K, Waris H. Laparoscopy in chronic abdominal pain; a prospective non-randomized long-term follow-up study. J Clin Gastroenterol. 2005;39:110–114
  29. Lower AM, Hawthorn RJ, Clark D, et al. Surgical and Clinical Research (SCAR) Group. Adhesion-related readmissions following gynaecological laparoscopy or laparotomy in Scotland: an epidemiological study of 24.046 patients. Human Reprod. 2004;19:1877–1885
  30. Wilson MS, Ellis H, Menzies D, et al. A review of the management of small bowel obstruction Members of the Surgical and Clinical Adhesions Research Study (SCAR). Ann R Coll Surg Engl. 1999;81:320–328
  31. Adhesion Scoring Group. Improvement of interobserver reproducibility of adhesion scoring system. Fertil Steril. 1994;62:984–988
  32. The CAESAR Study [www.npeu.ox.ac.uk/trials/Caesar.html].

PII: S0301-2115(09)00403-5

doi: 10.1016/j.ejogrb.2009.06.003

European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 147, Issue 1 , Pages 3-8 , November 2009

Article Tools

* Image Usage & Resolution