Single Layer With Unlocked Sutures Versus Double Layer Closure of Cesarean Incision and the Risk of Niche Development

Kafrelsheikh University366 enrolled

Overview

This study aimed to compare the development of the uterine niche after single and double closure of cesarean incision.

One of the most performed major surgeries worldwide is a cesarean section (CS), and CS rates are rising. These long-term complications are associated with an anatomical defect of the myometrium due to impaired healing of the incision in the uterus, a so-called uterine niche or cesarean scar defect, and with this increased rate of cesarean delivary the development of uterine niche has also increased In 50-70% of patients after cesarean section. The classification of niche was based on the measurement of the depth, base of the isthmocele and on calculation of its triangular area. This allowed to classify the uterine niches after cesarean section according to the size of its area.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

366

Conditions

Single Layer Unlocked Sutures Double Layer Closure Cesarean Incision Niche Development

Interventions

Single layer unlocked suturesPROCEDURE

Patients underwent uterine scar closure by single layer unlocked sutures.

Double layer unlocked suturesPROCEDURE

Patients underwent uterine scar closure by double layer unlocked sutures.

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥ 18 years. * Women who undergo first elective cesarean section (CS). Exclusion Criteria: * Women with a previous CS * Inadequate possibility for counselling (e.g. indication for CS without being informed about the study previously, women in severe pain without adequate therapy * previous major uterine surgery (e.g. laparoscopic or laparotomy fibroid resection, septum resection), Women with known causes of menstrual disorders (e.g. cervical dysplasia, communicating hydro salpinx, uterine anomaly * Placenta increta or percreta during the current pregnancy * ≥ Three foetuses during the current pregnancy. * Placenta previa * Twins

Locations (1)

Kafrelsheikh University

Kafr ash Shaykh, Kafrelsheikh, Egypt

Outcomes

Primary Outcomes

Assessment of the presence of niche

Patient were asked about any symptoms of the niche like post menstrual spotting as brownish discharge for more than two days at the end of menses or spotting more than seven days or inter menstrual blood loss that start after the end of menses or dysmenorrhea and prolonged bleeding

Time frame: 6 months after the procedure

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.