{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T06:43:46Z","timestamp":1784529826876,"version":"3.55.0"},"reference-count":25,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"04","license":[{"start":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T00:00:00Z","timestamp":1617062400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To investigate the effect of closure types of the anterior abdominal wall layers in cesarean section (CS) surgery on early postoperative findings.<\/jats:p><jats:p>\n          Methods\u2003The present study was designed as a prospective cross-sectional study and was conducted at a university hospital between October 2018 and February 2019. A total of 180 patients who underwent CS for various reasons were enrolled in the study. Each patient was randomly assigned to one of three groups: Both parietal peritoneum and rectus abdominis muscle left open (group 1), parietal peritoneum closure only (group 2), and closure of the parietal peritoneum and reapproximation of rectus muscle (group 3). All patients were compared in terms of postoperative pain scores (while lying down and during mobilization), analgesia requirement, and return of bowel motility.<\/jats:p><jats:p>\n          Results\u2003The postoperative pain scores were similar at the 2nd, 6th, 12th, and 18th hours while lying down. During mobilization, the postoperative pain scores at 6 and 12\u2009hours were significantly higher in group 2 than in group 3. Diclofenac use was significantly higher in patients in group 1 than in those in group 2. Meperidine requirements were similar among the groups. There was no difference between the groups' first flatus and stool passage times.<\/jats:p><jats:p>\n          Conclusion\u2003In the group with only parietal peritoneum closure, the pain scores at the 6th and 12th hours were higher. Rectus abdominis muscle reapproximations were found not to increase the pain score. The closure of the anterior abdominal wall had no effect on the return of bowel motility.<\/jats:p>","DOI":"10.1055\/s-0041-1726057","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T23:23:07Z","timestamp":1617146587000},"page":"250-255","source":"Crossref","is-referenced-by-count":1,"title":["Effect of Closure of Anterior Abdominal Wall Layers on Early Postoperative Findings at Cesarean Section: A Prospective Cross-sectional Study"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8507-5850","authenticated-orcid":false,"given":"Ersin","family":"\u00c7intesun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sel\u00e7uk University Medicine Faculty, Sel\u00e7uklu, Konya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4188-2199","authenticated-orcid":false,"given":"Ay\u015fe G\u00fcl","family":"Kebap\u00e7\u0131lar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sel\u00e7uk University Medicine Faculty, Sel\u00e7uklu, Konya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6888-0206","authenticated-orcid":false,"given":"Mustafa Gazi","family":"U\u00e7ar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sel\u00e7uk University Medicine Faculty, Sel\u00e7uklu, Konya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1106-6342","authenticated-orcid":false,"given":"Setenay Arzu","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sel\u00e7uk University Medicine Faculty, Sel\u00e7uklu, Konya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1557-5774","authenticated-orcid":false,"given":"Mete","family":"Bertizlio\u011flu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sel\u00e7uk University Medicine Faculty, Sel\u00e7uklu, Konya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6165-5092","authenticated-orcid":false,"given":"\u00c7etin","family":"\u00c7EL\u0130K","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sel\u00e7uk University Medicine Faculty, Sel\u00e7uklu, Konya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2208-8712","authenticated-orcid":false,"given":"\u00d6zlem","family":"Se\u00e7ilmi\u015f Kerimo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sel\u00e7uk University Medicine Faculty, Sel\u00e7uklu, Konya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2021,3,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1341","DOI":"10.1016\/S0140-6736(18)31928-7","article-title":"Global epidemiology of use of and disparities in caesarean sections","volume":"392","author":"T Boerma","year":"2018","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"k55","DOI":"10.1136\/bmj.k55","article-title":"Within country inequalities in caesarean section rates: observational study of 72 low and middle income countries","volume":"360","author":"A A Boatin","year":"2018","journal-title":"BMJ"},{"issue":"08","key":"ref3","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1097\/OGX.0b013e318267699f","article-title":"Cesarean delivery technique: evidence or tradition? 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