الفهرس 
Anatomy of Anterior Abdominal WallOnly 14 pages are availabe for public view
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Abstract
Background: The post-cesarean section pain is characterized as acute, and is closely related to the damage caused to the tissue due to the inflammatory reactions derived from a traumatic process, which produce pain. Aim of the Work: The aim of this study was to compare closure of anterior rectus sheath by double-lock technique versus its closure by conventional continuous non-locking technique as regards post-operative pain after cesarean through Pfannenstiel incision. Patients and Methods: This randomized controlled trial was conducted at Ain Shams university maternity hospital, the study included 150 women at reproductive age who were admitted for delivery at term. Data was analysed for 147 women as 3 women could not be reached by phone postoperatively and were not included in analysis. Results: The study revealed a statistically significant difference between double lock and continuous non locking groups regarding average static pain scores in 24 hours postoperatively [5th days, 6th days and 7th days). It revealed also highly statistically significant difference between double lock and continuous non locking groups regarding average dynamic pain scores in each 24hrs postoperatively for 7 days during standing and walking. Conclusion: Double lock technique for closure of rectus sheath in cesarean section decreases both post-operative static pain and dynamic pain during walking, sitting down and standing up. Recommendations: Further studies are needed to shed more light on double lock technique as a useful tool to decreases postoperative pain.