Uterine Closure for Cesarean Section: a Novel Technique

Recep Tayyip Erdogan University Training and Research Hospital

Status: Completed

Conditions: Cesarean Section; Dehiscence; Cesarean Section Complications

Treatments: Procedure: Yilmaz Suturation

Study type: Observational

Funder types: Other

Identifiers

NCT05669300

2022/178

Details and patient eligibility

About

In here we want to describe a new technique to uterin closure at caesarean section which has been performed about 20 years by Bülent Yılmaz. The technique (we suggest the name of the technique as Yılmaz technique) provide less resuturing need when closing the uterus in cesarean section, bringing together better wound edges, providing more effective suture in thin uteruses, stopping active bleeding areas with the same suture, thus enabling to complete the surgery at low cost by using a single suture material in almost all cases.

The aim of this study is to describe the technique and compare the blood loss of patients in caserean section between Yılmaz technique and single layer continue locked suturation .

Full description

The participants of the study were divided into two groups as uterine closure with Yilmaz technique (study group) and single layer continue locked suturation (control group). Maternal age, gestationale age, fetal weight, preoperative and postoperative hemoglobin levels are recorded. Hemoglobin decrease was calculated by subtracting the postoperative hemoglobin value from the preoperative hemoglobin values of the pregnant women.The postoperative hemoglobine decrease of the groups are compared.

Enrollment: 360 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients underwent to ceseren section and

  1. singleton
  2. alive fetus

Exclusion criteria

The patients with

1. uterine atonia,
2. coagulaopathy,
3. plasenta previa
4. blood transfusion -

Trial design

360 participants in 2 patient groups

Yilmaz Technique

Description:

the patients underwent ceserean section and uterus closed with Yilmaz Technique

Treatment:

Procedure: Yilmaz Suturation

single layer continue locked suturation

Description:

the patients underwent ceserean section and uterus closed with single layer continue locked suturation