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Effect of Hemming Stitch Closure of Peritoneum at Cesarean Section on Adhesions: A randomized controlled trial |
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| รหัสดีโอไอ | |
| Creator | Prapoj Nathirojanakun |
| Title | Effect of Hemming Stitch Closure of Peritoneum at Cesarean Section on Adhesions: A randomized controlled trial |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2568 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 33 |
| Journal No. | 1 |
| Page no. | 23-34 |
| Keyword | hemming stitch closure, peritoneum closure, non-closure, cesarean section, adhesion |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Objectives: To study the effect of Hemming stitch closure of the peritoneum at cesarean section on intra-abdominal adhesions and compare postoperative adhesion formation rate between the Hemming stitch closure group, the simple closure group, and the non-closure group. Materials and Methods: A prospective randomized controlled trial was conducted at Phon Hospital with 240 primiparous patients carrying full-term single fetuses, delivered by cesarean section between May 2017 and January 2020. They were randomized into 3 groups: 80 primiparous patients in the non-closure group, 80 primiparous patients in the simple closure group, and 80 primiparous patients in the Hemming stitch closure group. Between July 2019 and February 2024, 146 patients (46 cases in the non-closure group, 52 cases in the simple closure group, and 48 cases in the Hemming stitch closure group) returned for subsequent cesarean section. Data on adhesion formation were collected and analyzed using the SPSS program. Results: The total adhesion formation rates in the Hemming stitch closure group, simple closure group, and non-closure group were 10.4%, 48.1%, and 58.7%, respectively. The severe adhesion formation rates were 4.2%, 15.4%, and 39.1%, respectively. The total adhesion formation rates and severe adhesion formation rate in the Hemming stitch closure group were statistically significantly lower than in the simple closure group and non-closure group (p < 0.05). Conclusion: Hemming stitch closure of the peritoneum at cesarean section reduces both the overall adhesion formation rate and the rate of severe adhesion. The author recommends using Hemming stitch closure of the peritoneum in cesarean section procedures to effectively reduce the adhesion formation rate. |
