Comparison Between Vertical Splitting Versus Transverse Cutting of Muscle Layer in Lower Segment Cesarean Sections to Avoid Uterine Vessels Injury: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 400
- 试验地点
- 2
- 主要终点
- Uterine vessels injury
研究概览
简要总结
Cesarean section is one of the oldest surgical interventions in the history of medicine.Many variations in cesarean section technique have been studied.The investigatory team are aiming to decrease blood loss during cesarean section by vertical splitting versus transverse cutting of muscle layer in lower segment cesarean sections to avoid uterine vessels injury.
详细描述
Cesarean section is one of the oldest surgical interventions in the history of medicine.Since the first documented cesarean delivery in 1020 AD, various modifications have been made in the technique. It was a surgery performed as a last resort, mostly peri- or post-portem.
Many variations in cesarean section technique have been studied.our study aim is to decrease blood loss during cesarean section through decreasing incidence of uterine vessels injury. The investigator supposed that applying Vertical pull on a small C-shaped incision in the lower uterine segment during cesarean section allows the tissues to split along their natural arrangement, decreasing the probability of extension of the wound into the uterine vessels, thus; decreasing blood loss; operative time and maternal recovery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Elective cesarean section
- •No medical disorders during pregnancy ( Hypertension, DM , ..)
- •No coagulation disorders either congenital nor acquired.
排除标准
- •Urgent or emergency cesarean section.
- •Multiple pregnancy.
- •Presence of medical disorders during pregnancy ( Hypertension, DM , ..)
- •Presence of coagulation disorders either congenital nor acquired.
结局指标
主要结局
Uterine vessels injury
时间窗: 1 minute after extraction of the baby and placenta
the surgeon performing the cesarean section will detect if injury of uterine vessels occurred or not while extending uterine incision.
次要结局
- postoperative pain(24 hours after delivery)
- postpartum hemorrhage(first 24 hours after delivery)
- uterine incision extension(2 minutes extraction of the baby and placenta)
- intra-operative blood loss(before closure of the abdominal wall layer)
研究者
Ahmed Abass
Lecturer
Ain Shams University