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Cesarean section will performed via intraperitoneally and extraperitoneally. During postoperative period pain, need for analgesia, respiratory function tests, ileus, bowel movement, discharged time will be compared.
Investigators will compared results intra and extraperitoneal cesarean section. Two groups will determine according to random numbers table. After operations, blood count, C reactive proteins, postoperative temperature, need for analgesia, ileus, bowel movement, mobilization time will compare by blind physician. Abdominal, shoulder and incisional pain at postoperative 0, 6, 12, 18, 24, 30 hours will compared by use visual analog score. Neonatal results and complications also will compare. Investigators and participants will be blind regarding technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Extraperitoneal group | Experimental | Extraperitoneal cesarean section will perform after rectus sheat incision and carefully bladder dissecting. |
|
| Intraperitoneal group | Active Comparator | Conventional transperitoneal cesarean will perform |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Extraperitoneal cesarean section | Procedure |
| ||
| Intraperitoneal cesarean section |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Scores as measured by the Visual Analog Scale | 2 days |
| Measure | Description | Time Frame |
|---|---|---|
| Blood count | 2 days | |
| C reactive proteins level | 2 days | |
| Complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mehmet Baki Şentürk, MD | Zeynep Kamil Maternity and Pediatric Research and Training Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zeynep Kamil Maternity and Pediatric Research and Training Hospital | Istanbul | 34668 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23727518 | Result | Tappauf C, Schest E, Reif P, Lang U, Tamussino K, Schoell W. Extraperitoneal versus transperitoneal cesarean section: a prospective randomized comparison of surgical morbidity. Am J Obstet Gynecol. 2013 Oct;209(4):338.e1-8. doi: 10.1016/j.ajog.2013.05.057. Epub 2013 May 30. | |
| 18194912 | Result | Chou CY, Liang PC, Chen CA, Lee CN. Cervical abscess with vaginal fistula after extraperitoneal Cesarean section. J Formos Med Assoc. 2007 Dec;106(12):1048-51. doi: 10.1016/S0929-6646(08)60082-0. |
| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D011645 | Puerperal Infection |
| D045823 | Ileus |
| D006470 | Hemorrhage |
| D010146 | Pain |
| ID | Term |
|---|---|
| D011251 | Pregnancy Complications, Infectious |
| D007239 | Infections |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| Procedure |
|
| 2 days |
| Discharge time | 4 days |
| Forced expiratory volume in 1 second | 2 days |
| Forced vital capacity | 2 days |
| Peak expiratory flow | 2 days |
| Related Info | View source |
| D000091642 | Urogenital Diseases |
| D011644 | Puerperal Disorders |
| D007415 | Intestinal Obstruction |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |