04 December 2008

Caesarian scarring reduced

Surgeons may have found a method of reducing C-section-linked scarring and increasing the safety of subsequent Caesareans.

Surgeons may have found a method of reducing C-section-linked scarring and increasing the safety of subsequent Caesareans.

Closing the parietal peritoneum - a multi-layered membrane that lines the abdominal-pelvic walls - after a woman has had a C-section greatly lowers the likelihood of scarring, say researchers at the Stanford University School of Medicine.

When surgeons perform a C-section, they must cut through the parietal peritoneum. There's ongoing debate about whether it's best to surgically repair this membrane after a C-section or allow it to heal on its own.

Findings contradict current thinking
Writing in the August issue of Obstetrics and Gynecology, the California researchers pointed out that their finding contradicts current thinking among many surgeons.

"This was a surprise finding," study lead author Dr Deirdre Lyell, assistant professor of obstetrics and gynaecology, said in a prepared statement. "We were fully expecting to find that closing the peritoneum at Caesarean delivery would increase adhesions."

Adhesions are scars that form abnormal connections between two parts of the body.

The study of 173 with repeat C-sections found that 53 percent of women whose peritoneum was surgically closed following their first C-section delivery developed abdominal adhesions, compared with 73 percent of women who didn't have the surgery.

Surgical closure of the peritoneum linked to increased protection
The researchers concluded that surgical closure of the peritoneum provided five times as much protection against the formation of abdominal adhesions, compared with leaving the membrane to heal on its own.

Based on their findings, the study authors wrote that, "the practice of non-closure of the parietal peritoneum at Caesarean delivery should be questioned."

However, they said more research is required to provide a definitive answer. – (HealthDayNews)

Visit our Caesarean section Centre for more information.

August 2005


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Dr Suretha Kannenberg holds a degree in Medicine and a Masters in Dermatology from the University of Stellenbosch. She is employed as a consultant dermatologist by Stellenbosch University and Tygerberg Academic Hospital, where she is involved in clinical duties and the training of medical students and dermatology residents. Her areas of interest and research include vitiligo, eczema and acne. She also performs limited private practice work in the Northern suburbs of Cape Town in general and cosmetic dermatology.

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