Transvaginal Ultrasound Assessment of Caesarean Section Uterine Scar Closed by Single Versus Double Layer
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Uterine scar thickness
研究概览
简要总结
This study aimed to evaluate uterine scar thickness and integrity using transvaginal ultrasonography in women randomly assigned to single versus double-layer closure of the uterine incision, with a comparison between the two groups.
详细描述
Cesarean section (CS) is one of the most commonly performed major abdominal operations in women in both high and low-income countries.
Single-layer closure using a running locking stitch is associated with decreased operative time and fewer additional haemostasis sutures. An extensive Canadian study found a fourfold increase in the risk of uterine rupture in a woman who had a single layer in their previous pregnancy.
Transvaginal ultrasound is a validated tool for evaluating uterine scar defects, commonly referred to as a niche. It is used to asses the uterine scar thickness in a women with previous cesarean delivery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age from 20 to 40 years old.
- •Pregnant women underwent their first cesarean section.
排除标准
- •Body mass index (BMI) ≥ 30 kg /m
- •Multiple gestations.
- •Uterine malformation.
- •Placenta previa.
- •Placenta accreta.
- •Uterine or cervical fibroid.
- •Any previous uterine operation or any medical disease that compromises wound healing, such as diabetes mellitus, collagen diseases, anemia, or corticosteroid therapy.
研究组 & 干预措施
Single layer group
Patients who underwent single-layer closure of the transverse lower segment during cesarean section.
干预措施: Single-layer closure (Procedure)
Double layer group
Patients who underwent double-layer closure of the transverse lower segment during cesarean section.
干预措施: Double-layer closure (Procedure)
结局指标
主要结局
Uterine scar thickness
时间窗: 6 months postoperatively
Uterine scar thickness was evaluated by transvaginal ultrasound six weeks, three months, and six months postoperative.
次要结局
未报告次要终点
研究者
Said Abd El Kareem Said Saad
Resident of Obstetrics and Gynecology, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University