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EXCISION of cs section skin scar and subcutaneous release versus non removal in repeated cs .aRandomized controlled trial .
All eligible participants will randimized into two groups ; gruop 1 skin removal in which we will going to remove skin scar gruop 2 skin non removal ;direct open in the middle of the previous scar Follow up will be recorded for each participant aphoto will be taken postoperative to score the healing of the wound the follow up will be at one week ,then one month ,then three month acomparison between the two groups will be done .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| removal of cs scar | Experimental | gruop 1 will remove the scar |
|
| non removal of the scar | Experimental | gruop2 will not remove the scar |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| removal of ceserean section scar | Procedure | we will remove the previous scar in group A |
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| Measure | Description | Time Frame |
|---|---|---|
| the healing score | we will follow up the scar postoperative to compare the healing score by observer scar assessment scale maximaum score 5and patient scar assessment scale.maximum score 10.means WORST scale . | through the study duration AVERAGE ONE YEAR. |
| Measure | Description | Time Frame |
|---|---|---|
| the cosmotic appereance of the scar | we will follow up the scar healing postoperative by the observer scale assessment score and the patient scar assessment scale . | through the study duration an average one year |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19646316 | Background | Altman AD, Allen VM, McNeil SA, Dempster J. Pfannenstiel incision closure: a review of current skin closure techniques. J Obstet Gynaecol Can. 2009 Jun;31(6):514-520. doi: 10.1016/S1701-2163(16)34213-X. | |
| 28690864 | Background | Kawakita T, Landy HJ. Surgical site infections after cesarean delivery: epidemiology, prevention and treatment. Matern Health Neonatol Perinatol. 2017 Jul 5;3:12. doi: 10.1186/s40748-017-0051-3. eCollection 2017. |
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there are two gruops in the study ;one with removal of the scar 2nd with non removal in repeated cs
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| non removal of cesearean section scar | Procedure | we will open in the previous cesearean scar in group B |
|