Impact of Uterine Closure Techniques on the Cesarean Scar Thickness After Repeated Cesarean Section

Ataturk University

Status: Unknown

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

Treatments: Procedure: Single layer closure; Procedure: Double layer closure after resection uterine scar

Study type: Interventional

Funder types: Other

Identifiers

NCT03644433

B.30.2.ATA.0.01.00/4

Details and patient eligibility

About

We compares two techniques of uterine closure on myometrium thickness at the site of uterine scar of women who underwent repeated cesarean section. We will evaluate myometrial thickness by transvaginal ultrasound six months after cesarean.

Enrollment: 70 estimated 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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70 participants in 2 patient groups, including a placebo group

Single layer

Placebo Comparator group

Description:

Single layer closure

Treatment:

Procedure: Single layer closure

Double layer with resection

Active Comparator group

Description:

Double layer closure after resection uterine scar

Treatment:

Procedure: Double layer closure after resection uterine scar