This study aimed to evaluate uterine scar thickness and integrity using transvaginal ultrasonography in women randomly assigned to single versus double-layer closure of the uterine incision, with a comparison between the two groups.
Cesarean section (CS) is one of the most commonly performed major abdominal operations in women in both high and low-income countries. Single-layer closure using a running locking stitch is associated with decreased operative time and fewer additional haemostasis sutures. An extensive Canadian study found a fourfold increase in the risk of uterine rupture in a woman who had a single layer in their previous pregnancy. Transvaginal ultrasound is a validated tool for evaluating uterine scar defects, commonly referred to as a niche. It is used to asses the uterine scar thickness in a women with previous cesarean delivery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Patients who underwent single-layer closure of the transverse lower segment during cesarean section.
Patients who underwent double-layer closure of the transverse lower segment during cesarean section.
Tanta University
Tanta, El-Gharbia, Egypt
Uterine scar thickness
Uterine scar thickness was evaluated by transvaginal ultrasound six weeks, three months, and six months postoperative.
Time frame: 6 months postoperatively
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