Aim: To compare the effect of rectus muscle and peritoneum
closure versus non closure during repeated Cesarean Section on
postoperative pain. Study Design: A prospective, single-blinded,
randomized clinical trial. Patients and Methods: It included 100
patients, who, underwent repeated Cesarean section. They were
randomly allocated into two groups; group A & B with nonclosure & closure of rectus muscle and peritoneum respectively.
Postoperative pain was assessed by visual analogue scale during
hospital stay. Postoperative analgesia, amount of blood loss and
occurrence of postoperative complications were also analyzed.
Results: Women with non-closure technique had significantly
lower visual analogue score (VAS) at the end of 1st 48 hours
postoperative (2.86 ± 1.61) in comparison to other group. Women
who underwent closure had no difference as regard VAS (4.26 ±
2.19 vs. 4.80 ± 2.36; p value = 0.19). Regarding postoperative
analgesia intake, women with non-closure had a significant lower intake of analgesic drugs
(170.76 ± 30.85 mg) in comparison to the other group. Conclusion: Rectus muscle and
peritoneal approximation is associated with significant increase in postoperative pain and
analgesia.