Removal Versus Non Removal of Ceserean Section Scar .

Not Applicable

• Conditions: Cesarean Wound; Dehiscence
• Interventions: Procedure: removal of ceserean section scar; Procedure: non removal of cesearean section scar

• Registration Number: NCT05150678
• Lead Sponsor: Assiut University

Brief Summary

EXCISION of cs section skin scar and subcutaneous release versus non removal in repeated cs .aRandomized controlled trial .

Detailed Description

All eligible participants will randimized into two groups ; gruop 1 skin removal in which we will going to remove skin scar gruop 2 skin non removal ;direct open in the middle of the previous scar Follow up will be recorded for each participant aphoto will be taken postoperative to score the healing of the wound the follow up will be at one week ,then one month ,then three month acomparison between the two groups will be done .

Study Timeline

• Study First Submitted: 2021-09-17
• Status Verified: 2021-11
• Study First Submitted QC: 2021-11-26
• Study First Posted: 2021-12-09
• Last Update Submitted: 2022-01-17
• Last Update Posted: 2022-02-01
• Study Start: 2022-04
• Primary Completion: 2023-11
• Study Completion: 2023-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 600

Inclusion Criteria

1. women with repeated ceserean section
2. pregnant women >32 wk

Exclusion Criteria

• DM bleeding tendency preeclampsia previous history of wound infection chronic steroid use women refused to participate in Randomized clinical trial

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
removal of cs scar	removal of ceserean section scar	gruop 1 will remove the scar
non removal of the scar	non removal of cesearean section scar	gruop2 will not remove the scar
removal of cs scar	non removal of cesearean section scar	gruop 1 will remove the scar
non removal of the scar	removal of ceserean section scar	gruop2 will not remove the scar

Primary Outcome Measures

Name	Time	Method
the healing score	through the study duration AVERAGE ONE YEAR.	we will follow up the scar postoperative to compare the healing score by observer scar assessment scale maximaum score 5and patient scar assessment scale.maximum score 10.means WORST scale .

Secondary Outcome Measures

Name	Time	Method
the cosmotic appereance of the scar	through the study duration an average one year	we will follow up the scar healing postoperative by the observer scale assessment score and the patient scar assessment scale .