Objective:

To establish early postoperative outcome of the closure or not of visceral and parietal peritoneum in abdominal hysterectomy.

Methods:

A study was conducted in women who underwent an elective abdominal hysterectomy at Hospital Central de Maracaibo, Venezuela, from January 2016 to December 2017. Patients undergoing abdominal hysterectomy were assigned in one of two groups: no visceral and parietal peritonization (group A, cases) or peritonization of both layers (group B, controls). Analyzed variables were general characteristics of patients, surgical time length, postoperative complications and duration of hospital stay.

Results:

In the study period, 50 patients were assigned to group A and 54 patients to group B. No statistically significant differences were found between both groups related to age (p = 0.775) and parity (p = 0.658). Average duration of hospital stay, surgical time length and use of rescue analgesia was significantly lower in patients in group A compared with patients in group B (p < 0.05). No significant differences were found in the frequency or risk of complications between the groups (p = ns).

Conclusion:

To not perform parietal and visceral peritonization during abdominal hysterectomy significantly decreases surgery and hospitalization time, reducing the need for postoperative rescue analgesia, without increasing the risk of short-term complications.