Closure of Peritoneum at Cesarean Section and Postoperative Adhesion (cs adhesions)

Barzilai Medical Center

Status: Completed

Conditions: Cesarean Section; Adhesions

Treatments: Procedure: Closure of the peritoneum at cs

Study type: Interventional

Funder types: Other

Identifiers

NCT01183000

1789

Details and patient eligibility

About

Objective: To determine the effect of non-closure of the visceral and parietal peritoneum during Cesarean section on the formation of adhesions.

Study design: A prospective randomized trial of 533 women undergoing primary Cesarean section; 256 were randomized to non closure and 277 to closure of the peritoneum. At a subsequent cesarean,he presence of adhesions and their severity was evaluated at several sites: between the layers of the abdominal wall, between the bladder and the abdominal wall, between bladder and uterus, between the uterus and the abdominal wall, and between the bowels and the pelvic organs. A cumulative adhesion score was calculated.

Enrollment: 533 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Women undergoing primary CS

Exclusion criteria

• Lack of consent by the patient or an urgent cesarean not allowing time to elicit an informed consent
• Previous pelvic or abdominal surgery

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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533 participants in 2 patient groups

peritoneal closure

Active Comparator group

Treatment:

Procedure: Closure of the peritoneum at cs

Non closure of the peritoneum

No Intervention group