This study compares three techniques of uterine closure on myometrium thickness evaluated by ultrasound six months after the primary cesarean. The three techniques include: 1) locked single layer closure; 2) double layer closure with a first continuous locked suture and a second imbricating continuous suture; 3) double layer closure with a first continuous unlocked suture of the deep portion of the myometrium avoiding the inclusion of the decidua and a second unlocked continuous suture that approximate the upper portion of the myometrium. The primary outcome is the mean myometrium thickness at the site of the uterine scar evaluated by transvaginal ultrasound at six months after cesarean.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
81
CHU de Québec
Québec, Quebec, Canada
Mean myometrium thickness
Using transvaginal ultrasound the residual myometrium thickness at the site of the uterine scar will be measure.
Time frame: 6 months after intervention
Estimated blood loss
Time frame: Same day of intervention: day 1
Operative time
Time frame: Same day of intervention: day 1
Mean number of haemostatic sutures
Time frame: Same day of intervention: day 1
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