Does Rectus Re-approximation Cause Adhesion After Cesarean Section?

Not Applicable

• Conditions: Muscle Injury; Obstetric Complication
• Interventions: Procedure: Rectus muscle re-approximation

• Registration Number: NCT04483986
• Lead Sponsor: Giresun University

Brief Summary

Rectus re-approximation and periton closure are not the obligatory steps during cesarean section. These steps are due to surgeon's preference. However, there is lack of knowledge about the relation of rectus muscle re-approximation and adhesion formation. We are going to study the rectus muscle stiffness by share-wave elastosonography.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-05-25
• Study First Submitted: 2020-06-18
• Study First Submitted QC: 2020-07-21
• Study First Posted: 2020-07-23
• Status Verified: 2021-08
• Last Update Submitted: 2021-08-04
• Last Update Posted: 2021-08-06
• Primary Completion: 2021-08-25
• Study Completion: 2021-09-25

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 40

Inclusion Criteria

• Primary cesarean section

Exclusion Criteria

• Wound infection

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Study group	Rectus muscle re-approximation	This arm is going to include the patients who are performed rectus reapproximation.

Primary Outcome Measures

Name	Time	Method
Rectus muscle stiffness	3 months after cesarean section	Share wave elastosonography is going to perform to six different points of rectus muscle. Each points will be 2 cm right or left side of linea alba line in horizontal axis. Two points are on cesarean section incision, next two points 2 cm below the incision and other next two points 2 cm above the incision in vertical axis. Rectus muscle stiffness will show the adhesion formation.

Secondary Outcome Measures

Name	Time	Method
Postoperative pain	3 months after cesarean section	VAS scale is going to be used.
Postoperative bowel function	3 months after cesarean section	It is going to be evaluated by self developed questionnaire.
Postoperative bladder function	3 months after cesarean section	It is going to be evaluated by self developed questionnaire.
Operation time	During operation	Operation time in minutes is going to be recorded

Trial Locations

Locations (1)

Sebnem Alanya Tosun; 🇹🇷 Giresun, Turkey