Comparison of the intra-abdominal and extra-abdominal techniques in the repair of cesarean section incision

Abstract

Abstract Objective: To compare the intra-abdominal and extra-abdominal techniques in the repair of uterine incision in cesarean delivery. Methods: In this study, we analyzed the data of patients that underwent a cesarean section in Viranşehir State Hospital, a secondary care center. The present retrospective study included a total of 589 patients, of whom 296 underwent intra-abdominal uterine repair and 293 underwent extra-abdominal uterine repair in cesarean delivery. The groups were compared in terms of clinical characteristics, operation time, blood loss, and length of hospital stay. Results: Operation time significantly shorter in patients who underwent extra-abdominal uterine repair (p<0.001). Another significant finding was that blood loss was less in patients who underwent extra-abdominal uterine repair (p=0.002). Other parameters (age, blood transfusion requirement, preoperative and postoperative hemoglobin levels, length of hospital stay, and bowel movements) were statistically similar in the two groups. Conclusions: Our study showed that extra-abdominal repair shortened the operation time and less blood loss.