Double-layer Versus Purse Uterine Closure Techniques : Impact on Residual Myometrial Thickness After Cesarean
- Conditions
- Uterine Scar Defect
- Registration Number
- NCT04871022
- Lead Sponsor
- University Tunis El Manar
- Brief Summary
There are different surgical techniques of uterine closure during cesarean. Currently data suggest that the double layer unlocked closure technique is associated with better uterine scar healing, and this technique is considered the gold standard.
This study compares two techniques of uterine closure on myometrium thickness:
1. Double layer unlocked suture;
2. Purse suture of the uterus with a first continuous purse suture of the deep portion of the myometrium and a second unlocked continuous suture including the remaining part of the myometrium.
The primary outcome is the mean residual 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
- 126
- Planned cesarean
- Primary cesarean
- ≥ 38 gestational weeks
- Previous cesarean
- Women < 18 years old
- Multiple gestation
- Mullerian anomalies
- Active labor
- Diabetes
- BMI >35 kg/m2
- Placenta praevia
- Chronic systemic disease
- Covid-19 infection
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Residual myometrium thickness 6 months after intervention
- Secondary Outcome Measures
Name Time Method Operative time Same day of intervention: day 1 Estimated blood loss Same day of intervention: day 1 Mean number of haemostatic sutures Same day of intervention: day 1 scar width Same day of intervention: day 1
Trial Locations
- Locations (1)
University hospital Mongi Slim la Marsa
🇹🇳Tunis, La Marsa, Tunisia
University hospital Mongi Slim la Marsa🇹🇳Tunis, La Marsa, Tunisia