A Study of Uterine Exteriorization versus in Situ Repair and Its Outcome at Cesarean Section

Abstract Background: Caesarean delivery is one of the most commonly performed major surgical procedure worldwide around 18.5 million. To decrease the amount of blood loss during surgery uterine incision can be sutured with insitu technique or by exteriorization. Methods: This is a prospective study. Pregnant women admitted to labour Ward for elective and emergency c- section with various indications were included after obtaining written informed consent in their own understandable language.30 patients wer allocted to each group (Group A - Exteriorization repair, Group B - in situ repair). In all cases thorough history, complete physical and obstetric examination, routine investigations including obstetric scan were carried out. cesarean sections were done under spinal anesthesia. Amount of blood loss and duration of surgery noted. Haemoglobin values are checked preoperatively and postoperatively. Results: When exteriorization repair compared with in situ repair amount of blood loss was less in exteriorization (mean -292. vs 355) with P value < 0.001. (significant) Duration of surgery was less in exteriorization repair versus in situ repair. (mean 76.6 vs 93.44) with P value <0.001. (significant) Conclusion: Caserean section is most commonly performed surgery. Uterine repair can be done either by insitu repair or by exteriorization repair. Both have its own benefits and drawbacks, decision making depends on surgeons own preferences.