The impact between peritoneal closure and non-closure on the risk of adhesion in caesarean section: a systematic review

Abstract

Background: Caesarean section is one of the most frequently performed major surgical procedures worldwide. Peritoneal sutures in the cesarean section are performed via absorbable or delayed sutures. There is controversy over the choice of technique (continuous or interrupted) to close this layer, even among surgeons who believe in closing this layer. Overall, there are still differing opinions regarding the closure of this layer. This study examines how the study of the impact of peritoneal closure with no closure at the cesarean section on the risk of adhesions. Methods: Systematic Literature Review Research is the method selected by researchers in this study. Researchers will describe facts, data and information obtained from literature studies such as books and journals to research results related to the research topic. The quality of the articles was reviewed based on PRISMA and PICO guidelines so that as many as 7 articles were synthesized in the final review report from the literature.Results: It is known that the incidence of births worldwide by Caesarean section (CS) is increasing. Many births after CS have previously been performed by repeat surgery, either with elective CS or after an unsuccessful delivery attempt. The formation of these adhesions is associated with increased maternal morbidity in patients with recurrent CS. In studies, non-closure of the peritoneum appears to save time and costs and therefore lacks the adhesions that cause infertility. However, not closing the parietal peritoneum will cause adhesions without causing infertility. These adhesions can cause long operating times, recovery, and increased postoperative pain in the second cesarean section.Conclusion: Caesarean section is a very common surgical procedure worldwide. Suturing the peritoneal lining in the cesarean section can provide benefits or not. Therefore it is necessary to evaluate whether this step should be omitted.