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Suture of UTerus and Ultrasound Repair Evaluation

Not Applicable
Completed
Conditions
Uterine Scar Defect
Registration Number
NCT01860859
Lead Sponsor
CHU de Quebec-Universite Laval
Brief Summary

This study compares three techniques of uterine closure on myometrium thickness evaluated by ultrasound six months after the primary cesarean. The three techniques include: 1) locked single layer closure; 2) double layer closure with a first continuous locked suture and a second imbricating continuous suture; 3) double layer closure with a first continuous unlocked suture of the deep portion of the myometrium avoiding the inclusion of the decidua and a second unlocked continuous suture that approximate the upper portion of the myometrium. The primary outcome is the mean myometrium thickness at the site of the uterine scar evaluated by transvaginal ultrasound at six months after cesarean.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
81
Inclusion Criteria
  • Planned cesarean
  • Primary cesarean
  • ≥ 38 gestational weeks
Exclusion Criteria
  • Previous cesarean
  • Women < 18 years old
  • Multiple gestation
  • Mullerian anomalies
  • Active labor
  • Diabetes
  • BMI >35 kg/m2
  • Placenta praevia
  • Chronic systemic disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Mean myometrium thickness6 months after intervention

Using transvaginal ultrasound the residual myometrium thickness at the site of the uterine scar will be measure.

Secondary Outcome Measures
NameTimeMethod
Operative timeSame day of intervention: day 1
Mean number of haemostatic suturesSame day of intervention: day 1
Estimated blood lossSame day of intervention: day 1

Trial Locations

Locations (1)

CHU de Québec

🇨🇦

Québec, Quebec, Canada

CHU de Québec
🇨🇦Québec, Quebec, Canada
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