الفهرس Only 14 pages are availabe for public view
 |  | from | 181 |  |  |
| | | from | 181 | | |
Abstract
Cesarean section is the most common surgical procedure
performed by obstetricians. Caesarean section is also one of the
most frequently performed surgical procedures worldwide. In
general, rates around the world are from about 5% to over 40%
of all deliveries. There are many operative techniques of
performing a CS. The techniques used depend on many factors
including the clinical situation and the preference of the
operator. Closure of the parietal peritoneum at CS has long been
advocated in traditional surgical teaching. The reason for this is
to establish normal anatomical relations, to prevent adhesion
formation, to reduce the risk of infection and to reduce the risk
of herniation or dehiscence and maintaining standard surgical
practice. However, the advantages of this technique have not
been proved by prospective randomized trials. Prior animal
experiments and general surgery reports have shown that
peritoneal closure tends to cause tissue ischemia, inflammation,
and foreign body reactions to suture material. These factors may
slow down the healing process and are considered important
precursors for adhesion formation. Peritoneum is a mesothelial
organ. In contrast to epidermal repair, where healing occurs
gradually from wound borders, peritoneum heals simultaneously
throughout the wound because mesothelial cells initiate multiple
sites of repair. If the peritoneum is left open, experimentalstudies have shown that a spontaneous healing will appear
within 48–72 hours after injuring the peritoneum with complete
healing after five to six days.