Double-layered purse string uterine suture employing the French ambulatory cesarean section technique compared with single-layer continuous uterine suture: An ultrasound evaluation randomized trial

Autor:	denis fauck, Amel Triki, Kaouther Dimassi, Olivier Ami, rania merrai, Luka Velemir, Benedicte Simon
Rok vydání:	2021
Předmět:	medicine.medical_specialty education.field_of_study business.industry Ultrasound Population Perioperative Surgery law.invention Obstetrics and gynaecology Randomized controlled trial Suture (anatomy) law Ambulatory medicine business education Hysterosonography
Popis:	Objective: To test the hypothesis that compared to single layer continuous uterine suture (SLCUS), a double layered purse string uterine suture (PSUS) significantly reduces cesarean scar defect (CSD) rates, without increasing the perioperative maternal morbidity. Design : Interventional prospective, randomized study . Setting: University obstetric units in Tunisia. Population: 100 pregnant women with an indication of a planned Caesarean. Methods: Patients were enrolled in 2 groups according to the uterine suture technique: SLCUS or PSUS. A Saline infusion hysterosonography was performed by the same senior obstetrician blinded to the uterine suture technique 6 months after surgery . Main Outcome measures: Operative time and Calculated blood loss (CBL) were used for the short time analysis . Uterine and CSD measurements were used for the mid time analysis . Results : Despite a few minutes longer operative time in SUS group (7.17 ± 2.31 min Vs. 6.31 ± 3.04 min, p = 0.028 in SLCUS group; p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::70f1b36df3e764754833e1ac0127d422 https://doi.org/10.22541/au.161400220.01270649/v1 Zobrazit plný text záznamu