Impact of adding a second-layer to a single unlocked closure of Cesarean uterine incision: a randomized controlled trial

Martin Rudnicki, G Bennich, C Wilken-Jensen, Thea Lousen, P. D. Lassen, K Wøjdemann

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

The purpose of the present study was to investigate short- and long term effects on residual myometrial thickness (RMT) by adding a second-layer to a single unlocked closure of caesarean uterine incision.
METHOD:
he study was a randomized double-blind controlled trial. Healthy nulliparous scheduled for first-time elective Caesarean delivery were operated using a modified version of the Misgav-Ladach surgical technique. The women were examined by abdominal ultrasound before discharge from the maternity ward and by hysterosonography five months post partum.
RESULTS:
Seventy-six nulliparous met the criteria and accepted participation. Thirty-eight women were assigned to single-layer and 38 to double-layer unlocked closure technique. Groups were comparable regarding gestational age at delivery, duration of surgery and peroperative blood loss. RMT was without difference between the two groups, both at discharge (20.2±8.0 mm vs. 21.0±9.7 mm (mean±sd)) and five months postpartum (5.7±2.9 mm vs. 5.7±2.2 mm (mean±sd)). RMT was about half that of the normal myometrium at both examinations.
CONCLUSION:
The present results suggest that double-layer closure of the caesarean uterine incision does not increase RMT compared to single-layer closure when an unlocked technique is used
OriginalsprogEngelsk
TidsskriftUltrasound in Obstetrics and Gynecology
Vol/bind40
Udgave nummer4
Sider (fra-til)417-422
ISSN0960-7692
DOI
StatusUdgivet - 2016

Citer dette

Rudnicki, Martin ; Bennich, G ; Wilken-Jensen, C ; Lousen, Thea ; Lassen, P. D. ; Wøjdemann, K . / Impact of adding a second-layer to a single unlocked closure of Cesarean uterine incision: a randomized controlled trial. I: Ultrasound in Obstetrics and Gynecology. 2016 ; Bind 40, Nr. 4. s. 417-422.
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abstract = "The purpose of the present study was to investigate short- and long term effects on residual myometrial thickness (RMT) by adding a second-layer to a single unlocked closure of caesarean uterine incision.METHOD:he study was a randomized double-blind controlled trial. Healthy nulliparous scheduled for first-time elective Caesarean delivery were operated using a modified version of the Misgav-Ladach surgical technique. The women were examined by abdominal ultrasound before discharge from the maternity ward and by hysterosonography five months post partum.RESULTS:Seventy-six nulliparous met the criteria and accepted participation. Thirty-eight women were assigned to single-layer and 38 to double-layer unlocked closure technique. Groups were comparable regarding gestational age at delivery, duration of surgery and peroperative blood loss. RMT was without difference between the two groups, both at discharge (20.2±8.0 mm vs. 21.0±9.7 mm (mean±sd)) and five months postpartum (5.7±2.9 mm vs. 5.7±2.2 mm (mean±sd)). RMT was about half that of the normal myometrium at both examinations.CONCLUSION:The present results suggest that double-layer closure of the caesarean uterine incision does not increase RMT compared to single-layer closure when an unlocked technique is used",
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Impact of adding a second-layer to a single unlocked closure of Cesarean uterine incision: a randomized controlled trial. / Rudnicki, Martin; Bennich, G; Wilken-Jensen, C; Lousen, Thea; Lassen, P. D.; Wøjdemann, K .

I: Ultrasound in Obstetrics and Gynecology, Bind 40, Nr. 4, 2016, s. 417-422.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Impact of adding a second-layer to a single unlocked closure of Cesarean uterine incision: a randomized controlled trial

AU - Rudnicki, Martin

AU - Bennich, G

AU - Wilken-Jensen, C

AU - Lousen, Thea

AU - Lassen, P. D.

AU - Wøjdemann, K

PY - 2016

Y1 - 2016

N2 - The purpose of the present study was to investigate short- and long term effects on residual myometrial thickness (RMT) by adding a second-layer to a single unlocked closure of caesarean uterine incision.METHOD:he study was a randomized double-blind controlled trial. Healthy nulliparous scheduled for first-time elective Caesarean delivery were operated using a modified version of the Misgav-Ladach surgical technique. The women were examined by abdominal ultrasound before discharge from the maternity ward and by hysterosonography five months post partum.RESULTS:Seventy-six nulliparous met the criteria and accepted participation. Thirty-eight women were assigned to single-layer and 38 to double-layer unlocked closure technique. Groups were comparable regarding gestational age at delivery, duration of surgery and peroperative blood loss. RMT was without difference between the two groups, both at discharge (20.2±8.0 mm vs. 21.0±9.7 mm (mean±sd)) and five months postpartum (5.7±2.9 mm vs. 5.7±2.2 mm (mean±sd)). RMT was about half that of the normal myometrium at both examinations.CONCLUSION:The present results suggest that double-layer closure of the caesarean uterine incision does not increase RMT compared to single-layer closure when an unlocked technique is used

AB - The purpose of the present study was to investigate short- and long term effects on residual myometrial thickness (RMT) by adding a second-layer to a single unlocked closure of caesarean uterine incision.METHOD:he study was a randomized double-blind controlled trial. Healthy nulliparous scheduled for first-time elective Caesarean delivery were operated using a modified version of the Misgav-Ladach surgical technique. The women were examined by abdominal ultrasound before discharge from the maternity ward and by hysterosonography five months post partum.RESULTS:Seventy-six nulliparous met the criteria and accepted participation. Thirty-eight women were assigned to single-layer and 38 to double-layer unlocked closure technique. Groups were comparable regarding gestational age at delivery, duration of surgery and peroperative blood loss. RMT was without difference between the two groups, both at discharge (20.2±8.0 mm vs. 21.0±9.7 mm (mean±sd)) and five months postpartum (5.7±2.9 mm vs. 5.7±2.2 mm (mean±sd)). RMT was about half that of the normal myometrium at both examinations.CONCLUSION:The present results suggest that double-layer closure of the caesarean uterine incision does not increase RMT compared to single-layer closure when an unlocked technique is used

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DO - 10.1002/uog.15792

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EP - 422

JO - Ultrasound in Obstetrics & Gynecology

JF - Ultrasound in Obstetrics & Gynecology

SN - 0960-7692

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