NIche Development With Closure of Cesarean Uterotomy by Modified or Conventional Two-layer Technique

NCT ID: NCT02410395

Last Updated: 2018-05-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-01

Study Completion Date

2023-03-31

Brief Summary

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The aim of this trial was to compare two different uterotomy surgical techniques on the occurrence of a uterine niche and the risk of a number of short- and long-term gynecological complications associated with the presence and size of the niche.

Detailed Description

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Conditions

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Cesarean Scar Niche

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Conventional technique

Closure of the uterotomy with a conventional two-layer technique

Group Type ACTIVE_COMPARATOR

Conventional

Intervention Type PROCEDURE

Two-layer technique with the first layer performed as an un-locked, continuous suture without inclusion of the endometrium and the second layer performed as an un-locked, continuous suture with the stitches placed superficially, horizontally along the first layer.

Modified technique

Closure of the uterotomy with a modified two-layer technique

Group Type EXPERIMENTAL

Modified

Intervention Type PROCEDURE

The modified mattress suture is performed as a single-suture, double-layer technique with limited inclusion of the myometrium and broad inclusion of the serosal surface and myometrium, interchangeably

Interventions

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Conventional

Two-layer technique with the first layer performed as an un-locked, continuous suture without inclusion of the endometrium and the second layer performed as an un-locked, continuous suture with the stitches placed superficially, horizontally along the first layer.

Intervention Type PROCEDURE

Modified

The modified mattress suture is performed as a single-suture, double-layer technique with limited inclusion of the myometrium and broad inclusion of the serosal surface and myometrium, interchangeably

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Singleton pregnant
* Intended elective cesarean section

Exclusion Criteria

* Cervical dilatation of more than 4 cm
* Previous cesarean section
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Randers Regional Hospital

OTHER

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Niels Uldbjerg, MD, DMSc

Role: STUDY_CHAIR

Aarhus University Hospital

Lone Hvidman, MD, PhD

Role: STUDY_CHAIR

Aarhus University Hospital

Axel Forman, MD, DMSc

Role: STUDY_CHAIR

Aarhus University Hospital

Locations

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Dep. Obstetrics and Gynecology, Regional Hospital of Randers

Randers, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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AUH060804

Identifier Type: -

Identifier Source: org_study_id

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