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Human Reproduction, Vol. 16, No. 8, 1548-1552, August 2001
© 2001 European Society of Human Reproduction and Embryology

Opinion

Peritoneal closure—to close or not to close

Ying-Ching Cheong, Nitu Bajekal and Tin-Chiu Li1,

The Jessop Hospital for Women, Leavygreave Road, Sheffield S3 7RE, UK

Abstract

Peritoneal closure is a controversial issue among obstetricians and gynaecologists. This article reappraises the issue of peritoneal closure. We conducted a thorough literature search using Medline, Pubmed and Embase as well as a hand-search for all references quoted in the relevant papers. The routine non-closure of the peritoneum reduces operation time by an average of 6 min. Most studies showed no difference in the other outcome measures including infection/febrile episodes, analgesic/anaesthetics requirement, bowel function restoration, post-operative stay and adhesion formation. There are insufficient data concerning adhesion formation. In conclusion, apart from a slightly shorter operation time associated with non-closure of the peritoneum, many studies showed no difference in short-term morbidity in the closure and the non-closure group. More studies are needed to examine the long-term morbidity associated with the closure or the non-closure of the peritoneum.

Key words: Peritoneal closure/non-closure/outcome measures/morbidity

Notes

1 To whom correspondence should be addressed. Email: yingcheong{at}hotmail.com


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