الفهرس 
1. IntroductionOnly 14 pages are availabe for public view
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Abstract
Many variations in surgical techniques for cesarean delivery have been proposed, aimed at reducing surgical time, making the surgery easier and more efficient, lowering costs, decreasing the risk of adverse effects and postoperative morbidity, as well as length of hospital stay. The details of the surgical technique and its variation are important and were evaluated in a lot of randomized controlled trials. Temporary removal of the uterus from the abdominal cavity (exteriorization) has been postulated as a valuable technique for repair of the uterine incision (hysterorrhaphy) after delivery of the newborn and placental removal. The aim of this study to compare between the extra abdominal and in situ repair of uterine incision during caesarean section in a low resource setting. This randomized single blinded controlled study was conducted at department of Obstetrics and Gynecology of Kafr EL-shikh General hospital. The study cohort included the pregnant women who underwent elective caesarean section. The enrolled women allocated randomly into two groups - group A women who had hysterorrhaphy (suturing of the uterine incision) of their exteriorized uteri out of the skin incision during caesarean section while - group B women who had hysterorrhaphy of their uteri insitu (intra-abdominally).
The results summarized that: - There was no statistical significant difference between the two studied groups regarding demographic data. - In the study operating time was little shorter in exteriorized group as compared to intra-abdominal group but it is statistically not significant. - In this study exteriorization of uterus is associated with a smaller reduction in hemoglobin concentration than suturing the uterus intra-abdominally without any statistical difference. - The blood loos in group A ranged between (750_1260 ml) with mean value 1024.89±112.2 but in group B blood loss ranged between (850_1350 ml) with mean value 1150.0±115.33. - In that study there was no statistical significant difference between the two groups regarding the period of hospital stay. It was slightly decreased in intra-abdominal group with mean value ( 2.10±0.305 days)and increased in the exteriorization group with mean value (2.47±0.50 days) - Also in this study we gauged the number of surgical threads in c.m. required for the repair of the uterine incision, without statistical difference. - But we noticed that we used a less total number of additional ampoules of analgesics rather than that used routinely in the protocol in the in-situ group than the exteriorized group without no statistical difference