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N/A Completed N=282 Randomized Prevention

Single or Double-layer Uterine Closure Techniques

Uterine Scar · Cesarean Section Complications · Cesarean Section; Dehiscence
Source: ClinicalTrials.gov NCT03629028 ↗
Enrolled (actual)
282
Serious AEs
0.0%
Results posted
May 2020
Primary outcomePrimary: Number of Participants With Niche Visualized by Saline Infusion Sonography — 40; 53; 25; 23 Participants — p=0.05

Summary

There are different surgical techniques of uterine closure during cesarean. A growing data has suggested that the closure technique has an effect on uterine scar healing. Residual myometrium thickness and uterine scar defect (niche) development seems to be related to the single or double layer closure of uterus. In that study, investigators will search for the effect of single or double layer closure of uterus during cesarean on the uterine scar defect.

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Niche Visualized by Saline Infusion Sonography
40; 53; 25; 23 0.05
PRIMARY
Median Depth of Niche
1.7; 2.4
PRIMARY
Median Length of Niche
3.5; 3.8
PRIMARY
Median Width of Niche in Transverse Plane
2.8; 4
SECONDARY
Residual Myometrium Thickness - 6 to 9 Months
9.6; 9.4
SECONDARY
Adjacent Myometrium Thickness
12.1; 12

Eligibility Criteria

Inclusion Criteria

  • Primary cesarean, singleton pregnancy,

Exclusion Criteria

  • Multiple pregnancy, History of any uterine surgery, wound healing diseases (insulin dependent diabetes mellitus, rheumatoid arthritis, systemic lupus erythematous, inflammatory bowel disease)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03629028). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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