Omental Evisceration after Cesarean Section: Safety of Perit
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Introduction
One of the most significant changes that have been adopted in obstetric practices over the past few decades is undoubtedly the increasing frequency of Cesarean sections. Women are now four times more likely to have a Cesarean birth than 30 years ago. There is, however, wide variation in the surgical techniques used in Cesarean section and the quality of evidence to support the technique used. A rare complication often compels us to rethink and question the conventional surgical practices used.

We hereby present a case of omental prolapse, which questions the safety of non-closure of peritoneum at Cesarean sections.

Case Report
A 24-year primigravida lady underwent emergency lower segment Cesarean section for breech presentation in labour. Lower segment Caesarean section was done with low transverse abdominal incision under spinal anaesthesia. Uterus was sutured in two layers, and both the parietal and visceral layers of peritoneum were left open as per conventional practice. The rectus sheath was sutured in a continuous manner with polyglycolic acid suture. Skin was closed with nylon in interrupted mattress sutures. In early postoperative period she developed slight cough. Moreover, she complained of constipation during the first three postoperative days which resolved later. Otherwise the postoperative period was uneventful. Antibiotic prophylaxis was provided with intravenous Ceftriaxone twice daily. Analgesia was provided with intramuscular Diclofenac. Skin sutures were removed on the sixth postoperative day. She was discharged the next day.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335509/
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