Effect of peritoneal closure versus non closure after open hysterectomy on postoperative pain

Abstract

Background: Hysterectomy is one of the widely performed gynecological surgeries. During closure of the abdomen, parietal peritoneum could be closed or not .Whether the parietal peritoneum should be closed at hysterectomy or not is an argumental topic. Aim: To assess the level of postoperative pain in women undergoing hysterectomy with closure of peritoneum versus non- closure of peritoneum. Patients and methods: A prospective observational study was conducted on women undergoing abdominal hysterectomy. Results: There was a statistically significant difference between the closures and non- closure groups during hysterectomy regarding VAS after 2 hours, 3 hours and 6 hours, 12 hours and 24 hours with p value > 0.001. Conclusion: Non closure of the peritoneum during abdominal hysterectomy was associated with less operative time and less pain during the 2nd, 3rd, 6th, 12th and 24th hours after hysterectomy.