Closure vs Non Closure of Rectus Muscle at Cesarean Section Reducing Post Cesarean Adhesions
试验速览
- 阶段
- 不适用
- 入组人数
- 360
- 试验地点
- 1
- 主要终点
- assessment of the intraperitoneal adhesions post rectus muscle closure
研究概览
简要总结
approximation of both recti during lower segment cesarean section may be an important step to lower incidence of intraabdominal adhesions . peritoneal adhesions are of major medical importance and are associated with clinical problems such as chronic pain and infertility.
详细描述
all patients included in the study should be had the operative history of the previous cesarean section and were done in the cairo university and divid them into 2 groups. 1st group were both recti approximated while the second group were closed without approximating both recti. all patients will be subjected to lower segment cesarean segment to assess the intraperitoneal adhesions, mean operative time, mean hospital stay, postoperative distension, bowel sounds, postoperative infections and morbidity
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •all patients of first lower segment cs at kasr al ainy with previous recorded data including operative data, postoperative data including complications. all patients included in the study are elective cesarean section at 38 weeks of gestation
排除标准
- •no history of infection or medical disease
- •no history of previous laparotomies
- •no history of pregnancy complications
- •patients noted to have intraperitoneal adhesions in first cesarean section
结局指标
主要结局
assessment of the intraperitoneal adhesions post rectus muscle closure
时间窗: intraoperative
assessment of adhesions bands between the pelvic organs and bowel
次要结局
- mean postoperative bowel sounds(posoperative within 24 hrs)
- postoperative morbidity and infections(posoperative within 1 week)
- mean operative time(intraopertive time)
- mean hospital stay(posoperative within first 48 hrs)
- postoperative distension(posoperative within 24 hrs)
研究者
Hany saad
assisstant professor
Cairo University