Evaluation of Single Versus Double-layer Technique by Closure of Cesarean Uterine Incision. A Randomized Controlled Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Zealand University Hospital
- Enrollment
- 77
- Locations
- 1
- Primary Endpoint
- Myometrial thickness
Study Overview
Brief Summary
The study compares short-term and long-term effects on myometrial thickness in women sutured by single- or double-layer technique by closure of cesarean uterine incision. The study is a randomized clinically controlled study.
Detailed Description
Objective
To compare short-term and long-term effects on myometrial thickness in women sutured by single- or double-layer technique by closure of cesarean uterine incision. The study is a randomized clinically controlled study.
Design:Follow-up by ultra sound of a randomised controlled trial. Surgical technique was blinded for the investigator.
Setting: An obstetric department in a tertiary referral hospital, 2008-2013. Participants: Healthy nulliparous scheduled for elective caesarean section randomly assigned to closure of the uterine incision by single- or double layer techniques.
Intervention: A modified version of the Misgav-Ladach surgical technique was used. The women were examined by abdominal ultra sound before discharge from the maternity ward, and by vaginal ultra sound and hysterosonography minimum five month post partum.
Main outcome measure: Thickness of the remaining myometrium corresponding to the former cesarean uterine incision measured by ultra sound.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Women submitted to cesarean sectio
Exclusion Criteria
- •Exclusion criteria were: Former uterine operations such as myomectomy or surgery resulting in entering the cavity, fibroids located in the cervix or the cervicalcorporal border, inflammatory bowel disease, SLE, rheumatoid arthritis, IDDM, re-operations after inclusion or the cesarean section and more than three additional single sutures for hemostasis.
Arms & Interventions
Suturing in a single layer
The technique used for single layer to close the uterine incision following cesarean sectio
Intervention: Suturing in a single layer (Procedure)
Suturing in two layer
The technique used for two layer technie to close the uterine incision following cesarean sectio
Intervention: Suturing in two layer (Procedure)
Outcomes
Primary Outcomes
Myometrial thickness
Time Frame: 5 months
Thickness of the remaining myometrium corresponding to the former cesarean uterine incision measured by ultra sound
Secondary Outcomes
No secondary outcomes reported