الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Cesarean delivery is one of the most frequently performed surgical procedures worldwide. Many variations in surgical techniques for cesarean delivery have been proposed, which have aimed at reducing surgical time, making surgery easier and more efficient, lowering costs, decreasing the risk of adverse effects and postoperative morbidity, as well as shortening the length of hospital stay.
The aim of our work was to evaluate the impact of uterine closure methods on the patients’ morbidity.
In our study five hundred women were recruited from El-Shatby Maternity University Hospital from January 2011 to December 2011 who have had an elective cesarean delivery.
These patients were allocated onto two study groups:
Group A: Two hundred and fifty pregnant women undergone lower segment cesarean section in which the uterine incision was repaired in a single layer of continuous locked polyglactin sutures.
Group B: Two hundred and fifty women undergone elective cesarean section in which the uterine incision was repaired in a double layer of continuous locked polyglactin sutures.
All cases were subjected to full preoperative obstetric assessment then elective cesarean delivery was done in which women were subjected to spinal analgesia. The uterus was opened by low transverse incision, 20 units of oxytocin were given after delivery of the fetus and all cases were followed up for one day after delivery. Pre and postoperative hemoglobin, hematochrit and need for blood transfusion were evaluated to assess blood loss in every case. Mean operative time, need for additional analgesia, need for additional oxytocin and hospital stay in days were also evaluated.
Our results found that:
-There were no statistical significant difference between the studied groups regarding parity, cesarean section, anesthesia and abdominal incision.
-Wound infection was found in 22 (8.8%) and 16 (6.4%) for group A and B respectively. There were no statistical significant differences between group A and group B regarding wound infection.
-One day stay in hospital were found in 90 (36.0%) and 74 (29.6%), two days stay in hospital were found in 160 (64.0%) and 176 (70.4%), for group A and B respectively. There were no statistical significant differences between group A and B regarding hospitalization period.