Uterine Incision Repair by Exteriorization Versus in Situ at Caesarean Section; Effect on Blood Loss and Operative Time

Saadia Saleem; Ammara Hafeez; Naureen Javed; Uzma Manzoor; Tasnim Tahira; Shaista Jabeen

doi:10.29054/apmc/2022.985

Saadia Saleem Associate Professor, Department of Gynecology & Obstetrics, Faisalabad Medical University, Faisalabad Pakistan
Ammara Hafeez Consultant Gynecologist, Department of Gynecology, MNCH, Social Security Hospital, Faisalabad Pakistan
Naureen Javed Associate Professor, Department of Gynecology & Obstetrics, Faisalabad Medical University, Faisalabad Pakistan
Uzma Manzoor Associate Professor, Department of Gynecology & Obstetrics, Independent Medical College, Faisalabad Pakistan
Tasnim Tahira Professor, Department of Gynecology & Obstetrics, Faisalabad Medical University, Faisalabad Pakistan
Shaista Jabeen Senior Registrar, Department of Gynecology & Obstetrics, Allied Hospital, Faisalabad Pakistan

DOI: https://doi.org/10.29054/apmc/2022.985

Keywords: Uterine exteriorization, In-situ repair, Cesarean delivery, Blood loss and operative time

Abstract

Background: Caesarean section is the commonest obstetric procedure. After caesarean delivery of the fetus and placenta, the uterus may be exposed outside the peritoneal cavity to suture the uterine incision or may be repaired in situ. Objective: To compare the outcome of uterine exteriorization versus in-situ repair during cesarean section in term of blood loss and operative time. Study Design: It was randomized control trial. Settings: Obstetrics and Gynecology department, Allied hospital, Faisalabad Pakistan. Duration: From 10^th July 2017 to 10^th January 2018. Methods: 320 patients were selected in this study. All enrolled patients were divided into two groups. In Group A uterine incision was repaired with uterine exteriorization and Group B with in-situ repair. The mean operating time and blood loss was noted. Results: The mean age of the group A patients was 28.04 ± 6.13 years and the mean age of the group B participants was 29.21 ± 6.55 years. The mean blood loss in group A was 397.89 ± 29.733 ml and in group B females was 435.97 ± 77.014 ml (p-value=<0.001) and the mean duration of operation in group A was 27.65 ± 1.876 minutes and in group B females was 32.34 ± 4.69 minutes (p-value=<0.001). Conclusion: Uterine exteriorization showed significantly better results in terms of operating time and blood loss than in-situ repair during cesarean section.