Cesarean Scar Defects After Uterine Closure by Double-layer Barbed or Smooth Suture

Ospedale Policlinico San Martino

Status: Completed

Conditions: Cesarean Section Complications; Uterine Niche; Isthmocele; Uterine Scar Defects

Treatments: Procedure: Clinical and ultrasonographic assessment

Study type: Observational

Funder types: Other

Identifiers

NCT04825821

BARB-CSCAR

Details and patient eligibility

About

Late sequelae of a cesarean section related to a uterine scar defects include gynecological symptoms and obstetric complications. The aim of this study was to evaluate the incidence and characteristics of cesarean scar defects after uterine closure by double-layer barbed suture.

Enrollment: 247 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients who underwent elective cesarean section at ≥ 37 weeks of gestation

Exclusion criteria

• Patients who underwent concomitant surgical procedures during the cesarean section (i.e., tubal sterilization);
• Patients who underwent a previous abdominal surgery (with exception of appendectomy) including a cesarean section or other laparotomic/laparoscopic uterine surgical procedure (i.e., myomectomy);
• Patients who had a previous diagnosis of Mullerian uterine anomalies elective cesarean for the second time or after uterine surgery;
• Patients who had evidence of PAS disorders or placenta previa.

Trial design

247 participants in 2 patient groups

Low transverse hysterotomy closed by double-layer unidirectional barbed suture

Description:

Patients who had undergone cesarean section during which the low transverse hysterotomy was closed by double-layer unidirectional barbed suture

Treatment:

Procedure: Clinical and ultrasonographic assessment

Low transverse hysterotomy closed by conventional double-layer smooth suture

Description:

Patients who had undergone cesarean section during which the low transverse hysterotomy was closed by conventional double-layer smooth suture

Treatment:

Procedure: Clinical and ultrasonographic assessment