Evaluation of single-layer versus double-layer suturing of low transverse uterine incisions in cesarean section and follow-up of scars by ultrasound: a prospective randomized controlled study

Evaluation of Uterine Closure Techniques in Cesarean Sections

Study Overview

This study compares two methods of closing the uterus after a cesarean section (CS): single-layer and double-layer suturing. We looked at how these methods affect scar healing over six months.

Study Details

We conducted a trial with 56 women who had elective cesarean sections. They were randomly assigned to either the single-layer or double-layer closure group. Six months later, we used transvaginal ultrasound to examine the scars, measuring their size and thickness.

Key Findings

  • Both groups had similar scar characteristics and thickness.
  • No significant differences in scar volume were found between the two techniques.
  • The double-layer closure took about 5 minutes longer and resulted in a slightly smaller decrease in hemoglobin levels.
  • Rates of postmenstrual spotting were similar in both groups.
  • Both groups had a few spontaneous pregnancies within six months.

Conclusion

Both single-layer and double-layer closure techniques have similar effects on scar healing after cesarean sections. Ultrasound is a valuable tool for monitoring scar recovery.

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