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We want to compare the effects of 2 suture materials (monofilament and multifilament) on healing of the uterine scar after a cesarean delivery.
Cesarean section (CS) is the most common type of obstetric surgery. When medically justified, CS can effectively prevent maternal and perinatal mortality and morbidity however, there are many short and long-term complications of CS. One of the most common complications is the CS scar defect. CS scar defects can develop after transverse incision of the lower uterine segment, which may result in prolonged postmenstrual bleeding, spotting, pelvic pain, and infertility. Suture material is an essential part of any major surgery, serving to hold opposing tissues together and accelerate the healing process, resulting in decreased scarring of the affected areas. We sought to evaluate the effects of different synthetic absorbable suture materials on cesarean scar defect formation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Monofilament suture | Experimental | continuous double-layer unlocked suturing with 1.0 monofilament synthetic absorbable suture |
|
| Multifilament suture | Active Comparator | continuous double-layer unlocked suturing with 1.0 multifilament synthetic absorbable suture |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Monofilament suture | Other | 1.0 monofilament synthetic absorbable suture for closure of the low transverse uterine incision |
|
| Measure | Description | Time Frame |
|---|---|---|
| The healing ratio | Six months after the operation, the integrity of the cesarean scar at the uterine incision site will be assessed by hydrosonography. The healing ratio will be calculated as the thickness of the residual myometrium covering the defect, divided by the sum of the thickness of the residual myometrium covering the defect and the height of the wedge-shaped defect. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| blood loss | The hemoglobin and hematocrit values will be measured 24 hours after CS | 24 hours |
| additional sutures | number of additional hemostatic sutures |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bezmialem Vakıf University Hospital | Istanbul | 34093 | Turkey (Türkiye) |
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| Multifilament suture | Other | 1.0 multifilament synthetic absorbable suture for closure of the low transverse uterine incision |
|
| 2 hours |