Vertical Splitting of Muscle Layer in Lower Segment Cesarean Sections to Avoid Uterine Vessels Injury

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

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-01

Study Completion Date

2021-12-01

Brief Summary

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Cesarean section is one of the oldest surgical interventions in the history of medicine.Many variations in cesarean section technique have been studied.The investigatory team are aiming to decrease blood loss during cesarean section by vertical splitting versus transverse cutting of muscle layer in lower segment cesarean sections to avoid uterine vessels injury.

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Detailed Description

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Cesarean section is one of the oldest surgical interventions in the history of medicine.Since the first documented cesarean delivery in 1020 AD, various modifications have been made in the technique. It was a surgery performed as a last resort, mostly peri- or post-portem.

Many variations in cesarean section technique have been studied.our study aim is to decrease blood loss during cesarean section through decreasing incidence of uterine vessels injury. The investigator supposed that applying Vertical pull on a small C-shaped incision in the lower uterine segment during cesarean section allows the tissues to split along their natural arrangement, decreasing the probability of extension of the wound into the uterine vessels, thus; decreasing blood loss; operative time and maternal recovery.

Conditions

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Cesarean Section Complications

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Transverse splitting

transverse cutting and/or pulling of lower uterine segment during lower segment cesarean section.

Group Type ACTIVE_COMPARATOR

Transverse cutting

Intervention Type PROCEDURE

Transverse cutting and/or pulling.of lower uterine segment during lower cesarean section extending the uterine incision laterally.

Vertical splitting

vertical splitting,of lower uterine segment during lower segment cesarean section.

Group Type ACTIVE_COMPARATOR

vertical splitting

Intervention Type PROCEDURE

vertical splitting of lower uterine segment during lower cesarean section making the direction of traction up and downward instead of being laterally and we suppose that this will allow the tissues to split along their natural arrangement, decreasing the probability of extension of the wound into the uterine vessels, thus; decreasing blood loss; operative time and maternal recovery.

Interventions

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Transverse cutting

Transverse cutting and/or pulling.of lower uterine segment during lower cesarean section extending the uterine incision laterally.

Intervention Type PROCEDURE

vertical splitting

vertical splitting of lower uterine segment during lower cesarean section making the direction of traction up and downward instead of being laterally and we suppose that this will allow the tissues to split along their natural arrangement, decreasing the probability of extension of the wound into the uterine vessels, thus; decreasing blood loss; operative time and maternal recovery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Elective cesarean section
* No medical disorders during pregnancy ( Hypertension, DM , ..)
* No coagulation disorders either congenital nor acquired.

Exclusion Criteria

* Urgent or emergency cesarean section.
* Multiple pregnancy.
* Presence of medical disorders during pregnancy ( Hypertension, DM , ..)
* Presence of coagulation disorders either congenital nor acquired.

Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes