Hydrosonographic Assessment of the Effect of Two Different Suture Materials on Healing of the Uterine Scar after Cesarean Delivery: A Prospective Randomized Controlled Trial
| Autor: | Osman Sevket, Taha Takmaz, Sevde Havva Islek, Belfin Nur Arici Halici, Pinar Ozcan |
|---|---|
| Přispěvatelé: | ŞEVKET, OSMAN |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent A Prospective Randomized Controlled Trial.- Zeitschrift fur Geburtshilfe und Neonatologie 2020 [Sevket O. Takmaz T. Ozcan P. Halici B. Islek S. -Hydrosonographic Assessment of the Effect of Two Different Suture Materials on Healing of the Uterine Scar after Cesarean Delivery] law.invention Cicatrix Young Adult 03 medical and health sciences 0302 clinical medicine Suture (anatomy) Randomized controlled trial Pregnancy law Maternity and Midwifery medicine Humans Prospective Studies 030212 general & internal medicine Cesarean delivery Prospective cohort study 030219 obstetrics & reproductive medicine Sutures Cesarean Section business.industry Suture Techniques Myometrium Obstetrics and Gynecology Surgery Incision Site Pediatrics Perinatology and Child Health Female Preoperative hemoglobin Absorbable sutures business |
| Zdroj: | Zeitschrift für Geburtshilfe und Neonatologie. 225:140-145 |
| ISSN: | 1439-1651 0948-2393 |
| Popis: | This study aimed to compare the effects of two different suture materials, monofilament synthetic absorbable sutures versus multifilament synthetic absorbable sutures, on healing the uterine scar after a cesarean delivery.A total of 95 women between the ages of 18 and 40 who had undergone a primary cesarean section (CS) after the 38No statistically significant differences were observed between the groups with regard to the preoperative hemoglobin concentrations, the change in the hemoglobin concentrations, operating time, and the number of intraoperative additional hemostatic uterine sutures. Mean thickness of the residual myometrium covering the defect was thicker in the monofilament suture group in comparison to the multifilament suture group (7.76±2.11 vs. 5.96±1.69, respectively; p0.01). The mean healing ratio was significantly higher in the monofilament suture group in comparison to the multifilament suture group (0.76±0.13 vs. 0.60±0.12, respectively; p0.01) CONCLUSION: Continuous double-layer unlocked closure of the uterine incision at cesarean delivery using monofilament synthetic absorbable sutures decreases the risk of CS scar defect.This study aimed to compare the effects of two different suture materials, monofilament synthetic absorbable sutures versus multifilament synthetic absorbable sutures, on healing the uterine scar after a cesarean delivery.A total of 95 women between the ages of 18 and 40 who had undergone a primary cesarean section (CS) after the 38No statistically significant differences were observed between the groups with regard to the preoperative hemoglobin concentrations, the change in the hemoglobin concentrations, operating time, and the number of intraoperative additional hemostatic uterine sutures. Mean thickness of the residual myometrium covering the defect was thicker in the monofilament suture group in comparison to the multifilament suture group (7.76±2.11 vs. 5.96±1.69, respectively; p0.01). The mean healing ratio was significantly higher in the monofilament suture group in comparison to the multifilament suture group (0.76±0.13 vs. 0.60±0.12, respectively; p0.01) CONCLUSION: Continuous double-layer unlocked closure of the uterine incision at cesarean delivery using monofilament synthetic absorbable sutures decreases the risk of CS scar defect. |
| Databáze: | OpenAIRE |
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