Closure vs Non Closure of Rectus Muscle at Cesarean Section 5 Year Study

• Conditions: Intraperitoneal Adhesions After Rectus Muscles Approximation
• Interventions: Procedure: approximation of both rectus muscles

• Registration Number: NCT04548570
• Lead Sponsor: Cairo University

Brief Summary

approximation of both recti during lower segment cesarean section may be an important step to lower incidence of intraabdominal adhesions . peritoneal adhesions are of major medical importance and are associated with clinical problems such as chronic pain and infertility.

Detailed Description

all patients included in the study should be had the operative history of the previous cesarean section and were done in the cairo university and divid them into 2 groups. 1st group were both recti approximated while the second group were closed without approximating both recti. all patients will be subjected to lower segment cesarean segment to assess the intraperitoneal adhesions, mean operative time, mean hospital stay, postoperative distension, bowel sounds, postoperative infections and morbidity

Study Timeline

• Study Start: 2020-01-01
• Study First Submitted: 2020-05-19
• Study First Submitted QC: 2020-09-11
• Study First Posted: 2020-09-14
• Status Verified: 2022-01
• Last Update Submitted: 2022-01-17
• Last Update Posted: 2022-01-19
• Primary Completion: 2022-03-01
• Study Completion: 2022-08

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 360

Inclusion Criteria

• all patients of first lower segment cs at kasr al ainy with previous recorded data including operative data, postoperative data including complications. all patients included in the study are elective cesarean section at 38 weeks of gestation

Exclusion Criteria

• no history of infection or medical disease
• no history of previous laparotomies
• no history of pregnancy complications
• patients noted to have intraperitoneal adhesions in first cesarean section

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
non approximation of both recti group	approximation of both rectus muscles	-
approximation of both recti group	approximation of both rectus muscles	-

Primary Outcome Measures

Name	Time	Method
assessment of the intraperitoneal adhesions post rectus muscle closure	intraoperative	assessment of adhesions bands between the pelvic organs and bowel

Secondary Outcome Measures

Name	Time	Method
mean postoperative bowel sounds	posoperative within 24 hrs	interval between operation and listening the bowel sounds
postoperative morbidity and infections	posoperative within 1 week	assess the tempreture, scars
mean operative time	intraopertive time	calculate the mean time for closure of both recti
mean hospital stay	posoperative within first 48 hrs	assess the postoperative time of hospital stay
postoperative distension	posoperative within 24 hrs	assessment of bowel distension postoperative

Trial Locations

Locations (1)

Cairo University; 🇪🇬 Cairo, Egypt