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High Vs. Low Segmental Hysterotomy: Impact on Uterine Wall Defects Post-Cesarean
Sponsor: Fundacion Clinica Valle del Lili
Summary
The purpose of this clinical trial is to compare the incidence of defects in the uterine wall at the site of the scar (niche) and surgical complications when using high-segment versus low-segment hysterotomy, with both cross-suturing and non-cross-suturing techniques, in pregnant patients undergoing their first cesarean section. Researchers will compare four arms: * Low Segment Hysterotomy + Crossed hysterorrhaphy * High Segment Hysterotomy + Crossed hysterorrhaphy * Low Segment Hysterotomy + Non-Crossed hysterorrhaphy * High Segment Hysterotomy + Non-Crossed hysterorrhaphy Participants will: * Cesarean delivery * Attend a follow up appointment between 6 to 16 weeks post surgery where will be perform a transvaginal sonography.
Official title: High Segmental Hysterotomy Vs. Low Segmental Hysterotomy: Association with the Incidence of Uterine Wall Defects After Cesarean Section
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
168
Start Date
2024-12-01
Completion Date
2026-10-31
Last Updated
2024-10-17
Healthy Volunteers
Yes
Conditions
Interventions
Low segment hysterotomy
A low segment hysterotomy is a surgical procedure in which an incision is made in the lower segment of the uterus, typically during a cesarean section or other uterine surgeries. This approach is preferred because the lower uterine segment is thinner and less vascular, reducing the risk of bleeding and complications during and after the procedure. The incision is typically horizontal.
High segment hysterotomy
A high segment hysterotomy is a surgical procedure involving an incision in the upper segment of the uterus.
Crossed hysterorrhaphy
Crossed hysterorrhaphy is a surgical technique used to close the uterine incision following a hysterotomy, particularly during cesarean sections. In this method, the sutures are placed in a crossed or X-shaped pattern, which helps to evenly distribute tension across the incision site.
Non-Crossed hysterorrhaphy
Non-crossed hysterorrhaphy is a surgical technique used to close a uterine incision, typically after a hysterotomy, such as during a cesarean section. In this method, the sutures are placed in a linear, parallel fashion rather than in a crossed or X-shaped pattern
Locations (1)
Fundación Valle del Lili
Cali, Valle del Cauca Department, Colombia