Uterine exteriorization versus intraperitoneal repair at caesarean section.
Cochrane Database Syst Rev
; (2): CD000085, 2000.
Article
em En
| MEDLINE
| ID: mdl-10796124
ABSTRACT
BACKGROUND:
After caesarean delivery of the fetus and placenta, the uterus may be placed outside the mother to facilitate repair of the uterine incision.OBJECTIVES:
The objective of this review was to assess the effects of exteriorisation of the uterus, compared to the effects of uterine closure within the abdominal cavity. SEARCH STRATEGY We searched the Cochrane Pregnancy and Childbirth Group trials register. SELECTION CRITERIA Randomised and quasi-randomised trials of uterine exteriorisation for repair compared to intra-abdominal repair for pregnant women undergoing elective or emergency caesarean section. DATA COLLECTION ANDANALYSIS:
Two reviewers assessed trial quality and extracted the data. MAINRESULTS:
Two trials involving 486 women were included. Neither trial was methodologically strong. Exteriorisation made no significant difference to blood loss. Exteriorisation was associated with fewer post-operative febrile days (fever more than three days, odds ratio 0.40, 95% confidence interval 0.17 to 0.94) and a non-significant trend towards fewer infections. There was also a non-significant trend towards more nausea and vomiting when exteriorisation was done under regional analgesia. REVIEWER'SCONCLUSIONS:
There is not enough information to evaluate the routine use of exteriorisation of the uterus for repair of the uterine incision.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cesárea
Tipo de estudo:
Clinical_trials
/
Systematic_reviews
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Cochrane Database Syst Rev
Assunto da revista:
PESQUISA EM SERVICOS DE SAUDE
Ano de publicação:
2000
Tipo de documento:
Article