Background: Currently, researchers are comparing uterine incision closure techniques and looking for ways to reduce associated risks. The aim of the work: To compare postoperative outcomes of single layer versus double layer unlocked sutures for closure of the uterine incision during cesarean section. Patients and Methods: This randomized controlled trial was conducted at Al-Azhar University in Damietta, Egypt on 110 patients divided into two groups. In Group I [n=55], the uterine incision was closed with a single layer unlocked suture using No. 1 vicryl. In Group II [n=55], the uterine incision was closed with a double layer unlocked suture using No. 1 vicryl. All cases underwent full medical history taking, complete clinical examination, and preoperative investigations. Results: While the uterine scar level was significantly lower in the single layer unlocked group [p= 0.012], the obtained scars after double layer unlocked suture were significantly thicker [RMT = 4.53 ± 2.09 vs. 6.96 ± 2.55]. A significant statistical difference was found between the two groups regarding residual myometrial thickness and defect depth and width three months postoperatively favoring Group II. A significant statistical difference was also found between the two groups regarding residual myometrial thickness and defect depth and width six months postoperatively favoring Group II. Conclusion: The double layer unlocked uterine closure technique is associated with better cesarean scar healing in terms of RMT and CS defect incidence compared to the single layer unlocked technique.
Mohamed, A., Oun, A. R., & Elbassioune, W. (2024). Ultrasonographic Evaluation of Cesarean Scar Defect after Double-layered Uterine Suture versus Single-layer Continuous Uterine Suture. International Journal of Medical Arts, 6(7), 4708-4714. doi: 10.21608/ijma.2024.264112.1913
MLA
Asmaa Abdel Halim Mohamed; Abdel Raouf Mohamad Oun; Walaa mohamed Elbassioune. "Ultrasonographic Evaluation of Cesarean Scar Defect after Double-layered Uterine Suture versus Single-layer Continuous Uterine Suture". International Journal of Medical Arts, 6, 7, 2024, 4708-4714. doi: 10.21608/ijma.2024.264112.1913
HARVARD
Mohamed, A., Oun, A. R., Elbassioune, W. (2024). 'Ultrasonographic Evaluation of Cesarean Scar Defect after Double-layered Uterine Suture versus Single-layer Continuous Uterine Suture', International Journal of Medical Arts, 6(7), pp. 4708-4714. doi: 10.21608/ijma.2024.264112.1913
VANCOUVER
Mohamed, A., Oun, A. R., Elbassioune, W. Ultrasonographic Evaluation of Cesarean Scar Defect after Double-layered Uterine Suture versus Single-layer Continuous Uterine Suture. International Journal of Medical Arts, 2024; 6(7): 4708-4714. doi: 10.21608/ijma.2024.264112.1913