跳至主要内容
临床试验/NCT06741371
NCT06741371招募中不适用

Impact of Using Synthetic Absorbable Monofilament Versus Multifilament Suture Material for Uterine Closure on the Development of Uterine Isthmocele : A Rondamized Controlled Clinical Trial

Ain Shams Maternity Hospital1 个研究点 分布在 1 个国家目标入组 140 人开始时间: 2024年1月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
入组人数
140
试验地点
1
主要终点
The incidence of isthmocele by transvaginal ultrasound 6 months after delivery

研究概览

简要总结

This thesis conducts the effect of using different suture materials on the development of uterine scar niche after cesarean section.

The difference between monofilament and multifilament sutures and the special properties of each one .

The primary outcome of the study is to know which material conducts more scar niche formation .

Secondary outcomes are the extent of blood loss , the need of extra hemostatic sutures

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
Triple (Participant, Investigator, Outcomes Assessor)

入排标准

年龄范围
20 Years 至 45 Years(Adult)
性别
Female
接受健康志愿者
是

入选标准

  • •Age: 20-45 years old
  • •Singleton pregnancy.
  • •Gestational age between 37 completed weeks to 42 weeks.
  • •Patients undergoing elective primary caesarean section

排除标准

  • •History of uterine surgery (e.g. hysterotomy, myomectomy, perforation, caesarean section). (to be able to differentiate between the recent CS scar and the old scar)
  • •Abnormal placental invasion (placenta previa and accrete ) ( more liable to undergo Cesarean hysterectomy)
  • •Uterine anomalies (e.g., septum, Mullerian anomalies or fibroids). (may be localized at the suture line and therefore affect the scar)
  • •Drugs intake that affects bleeding or tissue healing e.g., anti-coagulants, immunosuppressive drugs and chronic use of steroids (more than 14 days pre-operative)
  • •Any medical Co-morbidity (diabetes mellitus, Hypertension and Thyroid abnormalities) (more liable to affect the healing)

研究组 & 干预措施

Monocryl arm

Experimental

干预措施: Monocryl (Procedure)

Vicryl arm

No Intervention

结局指标

主要结局

The incidence of isthmocele by transvaginal ultrasound 6 months after delivery

时间窗: 6 months

Effect of using monofilament sutures on the development of uterine scar niche

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Mohammed Essam ElDin Mohammed

Assistant lecturer

Ain Shams Maternity Hospital

研究点 (1)

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