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dc.contributor.authorKürek Eken, Meryem
dc.contributor.authorÖzkaya, Enis
dc.contributor.authorTarhan, Tuba
dc.contributor.authorİçöz, Şeyma
dc.contributor.authorEroğlu, Şebnem
dc.contributor.authorKahraman, Şerife Tuğba
dc.contributor.authorKarateke, Ateş
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:32Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:32Z
dc.date.issued2017en_US
dc.identifier.citationKürek Eken, M., Özkaya, E., Tarhan, T., İçöz, Ş., Eroğlu, Ş., Kahraman, Ş. T. ... Karateke, A. (2017). Effects of closure versus non-closure of the visceral and parietal peritoneum at cesarean section: Does it have any effect on postoperative vital signs? A prospective randomized study. Journal of Maternal-Fetal & Neonatal Medicine, 30(8), 922-926. https://dx.doi.org/10.1080/14767058.2016.1190826en_US
dc.identifier.issn1476-7058
dc.identifier.issn1476-4954
dc.identifier.urihttps://dx.doi.org/10.1080/14767058.2016.1190826
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3186
dc.descriptionWOS: 000399742600008en_US
dc.descriptionPubMed ID: 27187047en_US
dc.description.abstractObjective: To investigate the effect of peritonization at cesarean section on postoperative vital signs which was thought to be an indirect finding secondary to increased sympathetic activity originated from pain caused by stretched peritoneum. Methods: One hundred and thirty-three pregnant women were randomized to four groups; Closure of parietal peritoneum only (group 1; n=32), closure of visceral and parietal peritoneums (group 2; n=32), no closure of peritoneums (group 3; n=32) and closure of the visceral peritoneum only (group 4; n=32). All participants were monitored for blood pressure, pulse activity and hourly urinary output during the first postoperative 24h. Postoperative pain was measured using a Visual Analogue Scale 6th and 24th hours after surgery. Return of bowel function was measured from the end of the operation to the first passage of flatus. Operating time, pre- and postoperative hemoglobin, postoperative complications, length of hospital stay and postoperative urine osmolarity were noted. Results: The mean surgery duration was significantly longer in group 2. Diuresis was found significantly decreased in group 2. Pulse rate and systolic and diastolic blood pressure were significantly higher in group 2. Closure of both peritoneums was associated with higher post-operative pain as assessed using Visual analogue scale score analyses in group 2. Conclusion: Both visceral and parietal membrane closure in cesarean section should be avoided in women with hypertensive disorders, renal function abnormalities and autonomic dysfunction because of increased postoperative pain and associated sympathetic overactivity.en_US
dc.language.isoengen_US
dc.publisherTaylor & Francis Ltden_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectCesarean Sectionen_US
dc.subjectPainen_US
dc.subjectPeritoneumen_US
dc.subjectSympathetic Activityen_US
dc.subjectVital Signsen_US
dc.titleEffects of closure versus non-closure of the visceral and parietal peritoneum at cesarean section: Does it have any effect on postoperative vital signs? A prospective randomized studyen_US
dc.typearticleen_US
dc.relation.journalJournal of Maternal-Fetal & Neonatal Medicineen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalıen_US
dc.identifier.volume30en_US
dc.identifier.issue8en_US
dc.identifier.startpage922en_US
dc.identifier.endpage926en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1080/14767058.2016.1190826en_US


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