Evaluation of Cesarean Scar After Three Different Uterine Closure Technis

Ataturk University

Status: Completed

Conditions: Cesarean, Residual Myometrial Thickness; Cesarean Section, Repeated; Cesarean, Uterine Scar Thickness

Treatments: Procedure: Single layer closure; Procedure: Double layer closure; Procedure: Doble layer closure with trimming

Study type: Interventional

Funder types: Other

Identifiers

NCT03915847

ATA35

Details and patient eligibility

About

The study compares three techniques of uterine closure on myometrium thickness at the site of uterine scar of women who underwent repeated cesarean section. Cesarean scar will be evaluated by transvaginal ultrasound six months after cesarean.

Enrollment: 90 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Previous two or three cesarean
• Gestational weeks >=36 weeks

Exclusion criteria

• Risk of obstetric haemorrhage
• Suspicion or diagnosis placenta previa or accrete syndrome
• Chorioamnionitis
• Uterine myoma in the anterior uterine segment
• Hysterotomy other than lower segment uterine incision at previous cesarean

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 3 patient groups

Single layer closure

Active Comparator group

Treatment:

Procedure: Single layer closure

Double layer closure

Active Comparator group

Treatment:

Procedure: Double layer closure

Doble layer closure with trimming

Active Comparator group

Treatment:

Procedure: Doble layer closure with trimming