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One repair approach is not superior to the other for most clinical outcomes. Slightly more blood loss occurs with in situ uterine repair, but no increase in rates of blood transfusions. Return of bowel function occurs several hours sooner with in situ uterine repair than exteriorization of the uterus (SOR: A, meta-analysis of consistent RCTs). The choice of repair should be guided by provider preference (SOR: C, expert opinion).