Hydrosonographic assessment of the effects of 2 different suturing techniques on healing of the uterine scar after cesarean delivery

Abstract

A double-layer locked/unlocked closure of the uterine incision at cesarean delivery decreases the risk of poor uterine scar healing.

Uterine caesarean closure techniques affect ultrasound findings and maternal outcomes: a systematic review and meta‐analysis

“…Our results are in line with the results of these reviews concerning short-term outcomes 13,14 or RMT 13,15 when single-and double-layer uterine closure were compared. We were able to include five additional studies [21][22][23]31,34 for single-versus double-layer closure reporting on scar healing, and five studies 22,23,26,30,39 for locked versus unlocked suturing. We were able to include five additional studies [21][22][23]31,34 for single-versus double-layer closure reporting on scar healing, and five studies 22,23,26,30,39 for locked versus unlocked suturing.…”

“…Moreover, Roberge et al 13 could not identify enough studies to report ultrasound findings after unlocked versus locked sutures. We were able to include five additional studies [21][22][23]31,34 for single-versus double-layer closure reporting on scar healing, and five studies 22,23,26,30,39 for locked versus unlocked suturing.…”

“…We included fourteen RCTs [21][22][23][24][25][30][31][32][33][34][35][36][37][38] and three prospective cohort studies [27][28][29] in the meta-analysis regarding singleversus double-layer closure.…”

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

“…Clinical studies suggest that a single‐layer locked closure carries an increased risk for uterine rupture than does a double‐layer locked closure. These findings are supported by at least three ultrasound studies. In a small randomized study of 36 patients by Sevket et al , RMT was 2.4 mm greater following a double‐layer compared with a single‐layer locked closure after 6 months ( P = 0.005).…”

“…These findings are supported by at least three ultrasound studies. In a small randomized study of 36 patients by Sevket et al , RMT was 2.4 mm greater following a double‐layer compared with a single‐layer locked closure after 6 months ( P = 0.005). In a study by Glavind et al of 149 patients, a similar difference in RMT of 2.4 mm was found after 5 months ( P = 0.04).…”