Closure vs Non Closure of Rectus Muscle at Cesarean Section 5 Year Study

Cairo University (CU)

Status: Unknown

Conditions: Intraperitoneal Adhesions After Rectus Muscles Approximation

Treatments: Procedure: approximation of both rectus muscles

Study type: Observational

Funder types: Other

Identifiers

NCT04548570

assisstant professor

Details and patient eligibility

About

approximation of both recti during lower segment cesarean section may be an important step to lower incidence of intraabdominal adhesions . peritoneal adhesions are of major medical importance and are associated with clinical problems such as chronic pain and infertility.

Full description

all patients included in the study should be had the operative history of the previous cesarean section and were done in the cairo university and divid them into 2 groups. 1st group were both recti approximated while the second group were closed without approximating both recti. all patients will be subjected to lower segment cesarean segment to assess the intraperitoneal adhesions, mean operative time, mean hospital stay, postoperative distension, bowel sounds, postoperative infections and morbidity

Enrollment: 360 estimated patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• all patients of first lower segment cs at kasr al ainy with previous recorded data including operative data, postoperative data including complications. all patients included in the study are elective cesarean section at 38 weeks of gestation

Exclusion criteria

• no history of infection or medical disease
• no history of previous laparotomies
• no history of pregnancy complications
• patients noted to have intraperitoneal adhesions in first cesarean section

Trial design

360 participants in 2 patient groups

approximation of both recti group

Treatment:

Procedure: approximation of both rectus muscles

non approximation of both recti group

Treatment:

Procedure: approximation of both rectus muscles