Comparison of uterine exteriorization and in situ repair during cesarean sections

Purpose To compare the peri- and postoperative complication rates of two cesarean delivery techniques. Methods Medical records from 1,087 patients who had a cesarean delivery with regional anesthesia between 2008 and 2010 were reviewed retrospectively. Seven hundred and thirty-two patients had an in...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2012-06, Vol.285 (6), p.1541-1545
Main Authors: Gode, Funda, Okyay, Recep Emre, Saatli, Bahadir, Ertugrul, Caglan, Guclu, Serkan, Altunyurt, Sabahattin
Format: Article
Language:English
Subjects:
Adult
Analgesics
Analgesics - administration & dosage
Blood Loss, Surgical - statistics & numerical data
Cardiac arrhythmia
Cesarean Section - adverse effects
Cesarean Section - methods
Endocrinology
Endometritis - epidemiology
Female
Gestational Age
Gynecology
Health risk assessment
Hematocrit - statistics & numerical data
Human Genetics
Humans
Hypotension - epidemiology
Infections
Length of Stay
Maternal-Fetal Medicine
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Perioperative Period - statistics & numerical data
Postoperative Complications - epidemiology
Postoperative Nausea and Vomiting - epidemiology
Pregnancy
Retrospective Studies
Surgical Wound Infection - epidemiology
Tachycardia - epidemiology
Treatment Outcome
Uterus - surgery
Young Adult
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Summary:Purpose To compare the peri- and postoperative complication rates of two cesarean delivery techniques. Methods Medical records from 1,087 patients who had a cesarean delivery with regional anesthesia between 2008 and 2010 were reviewed retrospectively. Seven hundred and thirty-two patients had an in situ uterine repair, and 355 patients had an exterior uterine repair. Patients who had chorioamnionitis, preeclampsia, a bleeding disorder, or abnormal placentation were excluded from the study. The following outcomes were compared between the two groups: mean operative time, intraoperative blood loss, perioperative nausea, tachycardia, hypotension, hemoglobin level, hematocrit level, the time to the first recognized bowel movement, postoperative analgesic dose, nausea, length of hospital stay, surgical site infection rate and endometritis rate. Results No clinically significant differences were found between the exteriorization and in situ uterine repair groups for mean hematocrit differences, intraoperative blood loss, perioperative nausea, tachycardia, hypotension and postoperative analgesic doses. However, the mean operative time, time to the first recognized bowel movement, surgical site infection rate and length of hospital stay were significantly lower in the in situ repair group ( p  
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-011-2186-1