Comparison of the Intra-abdominal and Extra-abdominal Techniques in the Repair of Cesarean Section Incision

Abstract

To compare the intra-abdominal and extra-abdominal techniques in the repair of uterine incisions in cesarean delivery is the objective of this research. 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 574 patients, of whom 288 underwent intra-abdominal uterine repair and 286 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. In patients who underwent extra-abdominal uterine repair, the operation time was significantly shorter than those who underwent intra-abdominal uterine repair (44.8 ± 11.8 and 51.4 ± 12.6 min, respectively; p < 0.001). Another significant finding was that blood loss was less in patients who underwent extra-abdominal uterine repair than in patients who underwent intra-abdominal uterine repair (1.3 ± 0.8 g/dl and 1.5 ± 0.9 g/dl, respectively; 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. Our study showed that extra-abdominal repair shortened the operation time and less blood loss. Further randomized controlled studies are needed to conclude the superiority of the two techniques over each other. © 2023, The Author(s), under exclusive licence to Springer Nature Switzerland AG.