Uterine Externalization Versus In Situ Repair of Hysterotomy During Cesarean Delivery: A Systematic Review, Equivalence Meta-analysis, and Trial Sequential Analysis

Abstract

(Int J Obstet Anesth. 2022;50:103271) Cesarean delivery (CD) technique should be optimized in order to optimize quality of recovery, oral intake, bowel function, and ambulation. Two different and contested forms of surgical techniques exist in order to repair the hysterotomy-externalization and in situ repair. Previous studies have demonstrated differing results in outcomes between the 2 techniques, leading to clinical equipoise and choice based on provider preference. This study examined different randomized controlled studies chosen for data accuracy and consistency that compared in situ and externalized uterine repair in an effort to analyze the greatest number of patients possible.