Closure vs Non Closure of Rectus Muscle at Cesarean Section 5 Year Study

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

Total Enrollment

360 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-01

Study Completion Date

2022-08-31

Brief Summary

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approximation of both recti during lower segment cesarean section may be an important step to lower incidence of intraabdominal adhesions . peritoneal adhesions are of major medical importance and are associated with clinical problems such as chronic pain and infertility.

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Detailed Description

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all patients included in the study should be had the operative history of the previous cesarean section and were done in the cairo university and divid them into 2 groups. 1st group were both recti approximated while the second group were closed without approximating both recti. all patients will be subjected to lower segment cesarean segment to assess the intraperitoneal adhesions, mean operative time, mean hospital stay, postoperative distension, bowel sounds, postoperative infections and morbidity

Conditions

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Intraperitoneal Adhesions After Rectus Muscles Approximation

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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approximation of both recti group

approximation of both rectus muscles

Intervention Type PROCEDURE

closure of both rectus muscle before closure of rectus sheeth

non approximation of both recti group

approximation of both rectus muscles

Intervention Type PROCEDURE

closure of both rectus muscle before closure of rectus sheeth

Interventions

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approximation of both rectus muscles

closure of both rectus muscle before closure of rectus sheeth

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* all patients of first lower segment cs at kasr al ainy with previous recorded data including operative data, postoperative data including complications. all patients included in the study are elective cesarean section at 38 weeks of gestation

Exclusion Criteria

* no history of infection or medical disease
* no history of previous laparotomies
* no history of pregnancy complications
* patients noted to have intraperitoneal adhesions in first cesarean section

Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes