An Optimal Uterine Closure Technique for Better Scar Healing and Avoiding Isthmocele in Cesarean Section: A Randomized Controlled Study

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dc.contributor.authorKalem, Ziya
dc.contributor.authorKaya, Aşkı Ellibeş
dc.contributor.authorBakırarar, Batuhan
dc.contributor.authorBaşbuğ, Alper
dc.contributor.authorKalem, Müberra Namlı
dc.date.accessioned2020-04-30T22:39:15Z
dc.date.available2020-04-30T22:39:15Z
dc.date.issued2019
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000470582700001en_US
dc.descriptionPubMed: 31070072en_US
dc.description.abstractObjective: The aim of this study is to compare the effects of two different uterine closure techniques, used during cesarean section (CS) operations on isthmocele formation. Material and Methods: This prospective, randomized, controlled study was performed on 138 patients in a university hospital between the dates December 2016 and August 2017. Uterine closures were performed using the double-layer, far-far-near-near (FFNN) unlocked technique, in the study group (n = 70) and using a single-layer continuous locked (SLL) technique in the control group (n = 68). The presence of isthmocele, residual myometrial thickness (RMT), postmenstrual spotting, dysmenorrhea, chronic pelvic pain and uterus position were evaluated in postoperative sixth month. Results: Isthmocele formation was less frequent and RMT was greater in the study group when compared to the control group (p < 0.001 and p < 0.001, respectively). Duration of operation, amount of blood loss and additional hemostatic suture requirement were not significantly different between the two groups (p = 0.221, p = 0.520 and p = 0.930, respectively). Postmenstrual spotting was less common in FFNN group, while the rates of chronic pelvic pain and dysmenorrhea were not significantly different between the groups (p = 0.002, p = 0.205 and p = 0.490, respectively). Conclusion: The findings of the present study demonstrate that uterine closure using the FFNN technique is beneficial in terms of providing protection from isthmocele formation and ensuring sufficient RMT. This method has the potential to become the optimal uterine closure technique, but the findings of the present study should be supported by large-scale studies in the future.en_US
dc.identifier.doi10.1080/08941939.2019.1610530en_US
dc.identifier.issn0894-1939
dc.identifier.issn1521-0553
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1080/08941939.2019.1610530
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2662
dc.identifier.wosWOS:000470582700001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Incen_US
dc.relation.ispartofJournal Of Investigative Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcesareanen_US
dc.subjectisthmoceleen_US
dc.subjectsuturing techniqueen_US
dc.subjectresidual myometrial thicknessen_US
dc.subjectscar healingen_US
dc.subjectdouble-layer suturingen_US
dc.titleAn Optimal Uterine Closure Technique for Better Scar Healing and Avoiding Isthmocele in Cesarean Section: A Randomized Controlled Studyen_US
dc.typeArticleen_US

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