Closure of Peritoneum at Cesarean Section and Postoperative Adhesion

Not Applicable

Completed

• Conditions: Cesarean Section; Adhesions
• Interventions: Procedure: Closure of the peritoneum at cs

• Registration Number: NCT01183000
• Lead Sponsor: Barzilai Medical Center

Brief Summary

Objective: To determine the effect of non-closure of the visceral and parietal peritoneum during Cesarean section on the formation of adhesions.

Study design: A prospective randomized trial of 533 women undergoing primary Cesarean section; 256 were randomized to non closure and 277 to closure of the peritoneum. At a subsequent cesarean,he presence of adhesions and their severity was evaluated at several sites: between the layers of the abdominal wall, between the bladder and the abdominal wall, between bladder and uterus, between the uterus and the abdominal wall, and between the bowels and the pelvic organs. A cumulative adhesion score was calculated.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-01-16
• Study First Submitted: 2010-08-08
• Primary Completion: 2010-08-16
• Study First Submitted QC: 2010-08-16
• Study First Posted: 2010-08-17
• Study Completion: 2010-12-31
• Status Verified: 2019-07
• Last Update Submitted: 2019-07-10
• Last Update Posted: 2019-07-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 533

Inclusion Criteria

• Women undergoing primary CS

Exclusion Criteria

• Lack of consent by the patient or an urgent cesarean not allowing time to elicit an informed consent
• Previous pelvic or abdominal surgery

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
peritoneal closure	Closure of the peritoneum at cs	-

Primary Outcome Measures

Name	Time	Method
Adhesion score	6 years

Trial Locations

Locations (2)

Barzilai Medical Center; 🇮🇱 Ashkelon, Israel

Barzilay University Medical Center; 🇮🇱 Ashkelon, Israel