EXCISION of cs section skin scar and subcutaneous release versus non removal in repeated cs .aRandomized controlled trial .
All eligible participants will randimized into two groups ; gruop 1 skin removal in which we will going to remove skin scar gruop 2 skin non removal ;direct open in the middle of the previous scar Follow up will be recorded for each participant aphoto will be taken postoperative to score the healing of the wound the follow up will be at one week ,then one month ,then three month acomparison between the two groups will be done .
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
600
we will remove the previous scar in group A
we will open in the previous cesearean scar in group B
the healing score
we will follow up the scar postoperative to compare the healing score by observer scar assessment scale maximaum score 5and patient scar assessment scale.maximum score 10.means WORST scale .
Time frame: through the study duration AVERAGE ONE YEAR.
the cosmotic appereance of the scar
we will follow up the scar healing postoperative by the observer scale assessment score and the patient scar assessment scale .
Time frame: through the study duration an average one year
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