Effect of single versus double layer suturing on healing of uterine scar after cesarean delivery
Joint Authors
Khamis, Rasha E.
Khidr, Ahmad H.
Shaban, Muhammad
Bahiyy al-Din, Mayy
Source
Suez Canal University Medical Journal
Issue
Vol. 21, Issue 2 (31 Dec. 2018), pp.140-145, 6 p.
Publisher
Suez Canal University Faculty of Medicine
Publication Date
2018-12-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background : Cesarean delivery is the one of the oldest procedures performed in the history of surgery.
Nowadays closure of the uterine incision is a key step in CD, particularly given the in-creasing awareness of future scar dehiscence.
Aim: to improve quality of cesarean delivery.
Ob-jective : to assess healing after single- and double-layer suturing of uterine scar.
Patients and Method: Randomized clinical trial conducted at Obstetrics and Gynecology department, Suez Ca-nal University Hospital.
Eighty primigravida women with full term pregnancy undergoing first elective CS were equally randomized to either single-layer or double-layer unlocked suture.
Six weeks after the operation, the integrity of the cesarean scar done by 2 operators was assessed by sonohysterography.
The thickness of the residual myometrium covering the defect "RMT", width of the triangular hypoechoic niche "W”, depth of the triangular hypoechoic niche "D" and healing ratio "D/RMT" were calculated as markers of uterine scar healing.
Results: There were no significant differences between the groups in terms of estimated blood loss, operation time, or additional hemostatic suture.
However, frequency of appearance of niche in single layer patients was 65% compared to 30 % in the double layer patients.
The mean thickness of the residual myom-etrium covering the defect was significantly higher 9 ± 1.1 mm after double-layer than 7.9 ± 0.92 mm after a single-layer closure (P = 0.002).
The mean healing ratio in double-layer was 0.2948 ± 0.05 versus 0.2969 ± 0.04; P =0.922 in the single-layer closure.
Conclusions : Double unlocked layer closure was associated with higher residual myometrial thickness than locked single layer and better uterine scar healing.
American Psychological Association (APA)
Khamis, Rasha E.& Khidr, Ahmad H.& Shaban, Muhammad& Bahiyy al-Din, Mayy. 2018. Effect of single versus double layer suturing on healing of uterine scar after cesarean delivery. Suez Canal University Medical Journal،Vol. 21, no. 2, pp.140-145.
https://search.emarefa.net/detail/BIM-959452
Modern Language Association (MLA)
Khamis, Rasha E.…[et al.]. Effect of single versus double layer suturing on healing of uterine scar after cesarean delivery. Suez Canal University Medical Journal Vol. 21, no. 2 (2018), pp.140-145.
https://search.emarefa.net/detail/BIM-959452
American Medical Association (AMA)
Khamis, Rasha E.& Khidr, Ahmad H.& Shaban, Muhammad& Bahiyy al-Din, Mayy. Effect of single versus double layer suturing on healing of uterine scar after cesarean delivery. Suez Canal University Medical Journal. 2018. Vol. 21, no. 2, pp.140-145.
https://search.emarefa.net/detail/BIM-959452
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 145
Record ID
BIM-959452