IMR Press / CEOG / Volume 45 / Issue 5 / DOI: 10.12891/ceog4403.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Comparison of extra-peritoneal and intra-peritoneal cesarean technique: a prospective randomised trial
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1 Departments of Obstetrics and Gynecology, Zeynep Kamil Maternity Teaching and Research Hospital, Uskudar, Istanbul, Turkey
2 Department of Obstetrics and Gynecology, Düzce Ataturk Government Hospital, Duzce, Turkey
3 Department of Obstetrics and Gynecology, Bayburt Government Hospital, Bayburt, Turkey
4 Department of Emergency, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
Clin. Exp. Obstet. Gynecol. 2018, 45(5), 756–761;
Published: 10 October 2018

Objective: Comparison of extra-peritoneal cesarean (EPC) and intra-peritoneal cesarean (IPC) section in terms of postoperative pain, pulmonary function, fever, gastrointestinal function, and other maternal and fetal morbidities. Materials and Methods: Fifty patients were included in this prospective study. All patients' demographic data such as blood count, gestational week, height, weight, body mass index, and age were recorded in the preoperative period. Forced vital capacity, forced expiratory volume at second 1, and peak expiratory flow values were measured before and 24 hours after the operation. Pain was evaluated using visual analog scale (VAS). Time from the beginning of the operation to the delivery, total operation time, birth weight, and Apgar scores were also recorded. Changes in pulmonary function tests, VAS, time to hear bowel sounds, gas and stool discharge times, leukocyte increase rate, fever, and C-reactive protein values were compared between the groups. Results: Lower abdominal and incision pain were less in the EPC group (p < 0.05). Inflammatory response was lower and bowel sound were heard earlier in the EPC group (p < 0.05). Conclusion: EPC section seems to be advantageous in terms of postoperative pain, pulmonary function, intestinal function, and febrile morbidity. Further studies with larger populations are needed in order to recommend this technique routinely.
Cesarean section
Extra-peritoneal cesarean
Pulmonary function test
Visual analog scale
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