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Jun 13, 2017Article Details
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Main Article Content
Closure of peritoneum at laparotomy - A survey of gynaecological practice
Abstract
Methods. Questionnaires were faxed to, or telephonic - interviews conducted with, 145 registered gynaecologists in Gauteng concerning their practices of peritoneal closure or non-closure at laparotomy. One hundred and one respondents replied and all data were entered onto a database (Epi-Info 6) for analysis.
Results. The response rate was 70% (101/145). Peritoneal closure was performed more frequently by private obstetricians and gynaecologists than by those who work
either' part-time or full-time in government institutions. Significantly more respondents in private practice than those who practise in government institutions close parietal peritoneum during caesarean section (92% v. 58%). The same
trend was noted for abdominal hysterectomy (92% v. 61%, respectively). Restoration of anatomy (39% in private practice v. 27% in government institutions) and prevention of adhesion formation (36% in private v. 30% in government service) are the hvo most important reasons given'by both groups for closure of peritoneal surfaces.
Conclusion. The majority of specialists close peritoneal surfaces during the various surgical procedures in obstetrics and gynaecology, despite evidence that this practice does not improve surgical outcome.
