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Wound by southampton grading in closure versus nonclosure of parietal peritoneum at caesarean section

Author: 
Hooja Nupur, Sharma Avantika, Mital Premlata, Bhargava Smriti, Rajani Nawal, Bhomraj Kumavat, Kala Manisha, Kritika Tulani and Surabhi Arora
Subject Area: 
Health Sciences
Abstract: 

Background – Caesarean section is one of the most frequently performed surgery in obstetrics. To make it better from cosmetic point of view, it is important to know if a surgical step has an effect on the wound condition postoperatively. Aim and Objective: The study was undertaken to study the effect of closure versus nonclosure of parietal peritoneum on postoperative wound condition. Material and Method: It was a hospital based interventional study done in a tertiary care hospital over one year. Detailed history, investigations, operative details, Southampton wound grading of postoperative wound was done. Unpaired t test was used for statistical analysis. Result: There was no significant difference in the incidence of wound infection on day 3 postoperatively in the closure and nonclosure groups as assessed by Southampton wound grading. However, on wound assessment at six weeks the scar was better in nonclosure cases. Conclusion: Peritoneal nonclosure can be chosen over closure as the wound condtion is better and leads to less postoperative stay in hospital.

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