Surgical techniques for uterine incision and uterine closure at the time of caesarean section

Dodd, Jodie M; Anderson, Elizabeth; Gates, Simon

doi:10.1002/14651858.cd004732.pub2

Cited by 75 publications

(20 citation statements)

References 45 publications

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“…We attempted to give an overview of the effect of three different uterine closure techniques separately, which makes our systematic review more extensive than previous reviews on this topic. 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. Moreover, Roberge et al 13 could not identify enough studies to report ultrasound findings after unlocked versus locked sutures.…”

Section: Discussionsupporting

confidence: 90%

“…Previous reviews focused mainly on short-term outcomes or ultrasound findings and performed no correction for possible confounders. [13][14][15] Therefore, the aim of our systematic review and meta-analysis is to study the effect of three different closure techniques of the uterine incision at CS independently, first on ultrasound findings and second on intraoperative and short-term postoperative outcomes, long-term gynaecological symptoms and reproductive outcomes.…”

Section: Introductionmentioning

confidence: 99%

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

Stegwee

Jordans

Voet

et al. 2018

BJOG

107

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Double-layer unlocked sutures are preferable to single-layer locked sutures regarding RMT, healing ratio and dysmenorrhoea. Excluding the decidua seems to result in higher niche prevalence. As thin residual myometrium or niches may serve as intermediates for gynaecological and reproductive outcomes, future studies should focus on these outcomes. TWEETABLE ABSTRACT: #Uterineclosuretechniques after #caesarean affect #longtermoutcomes.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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

Stegwee

Jordans

Voet

et al. 2018

BJOG

107

View full text Add to dashboard Cite

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“…Cesarean section is one of the most common abdominal operations throughout the world. 1,2 While cesarean section is a common procedure performed on women worldwide, there is little information available to inform decisions regarding the most appropriate surgical technique to adopt. 2 Many variations in cesarean section technique have been studied.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 While cesarean section is a common procedure performed on women worldwide, there is little information available to inform decisions regarding the most appropriate surgical technique to adopt. 2 Many variations in cesarean section technique have been studied. For example, single-layer uterine closure has been compared to double-layer uterine closure [3][4][5] and closure with different suturing materials 6,7 and different incisions [8][9][10] has also been studied.…”

Section: Introductionmentioning

confidence: 99%

Purse‐string double‐layer closure: A novel technique for repairing the uterine incision during cesarean section

Turan

Büyükbayrak

Yilmaz

et al. 2014

J of Obstet and Gynaecol

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Aim: To compare the classical double-layer uterine closure to a double-layer purse-string uterine closure (Turan technique) in cesarean section regarding short-and long-term results. Methods: Patients were randomized into either the double-layer purse-string uterine closure arm (study group, 84 patients) or the classical double-layer uterine closure arm (control group, 84 patients). For short-term comparison, a detailed transvaginal ultrasound examination was planned in all patients 6 weeks after the operation and a wedge-shaped defect in the uterine incision scar was accepted as uterine scar defect and recorded. For the long-term comparison, subsequent pregnancies of these patients were followed up for any complication. Results:The number of patients with ultrasonographically visible uterine scar defect was 12 (23.5% of all scar defects) in the study group whereas it was 39 (76.5% of all scar defects) in the control group (P < 0.001, χ 2 = 15.42). Demographic data, operation time, hospitalization time, preoperative and postoperative hemoglobin values were not significantly different between the groups. During the 2-year of the follow-up period, five patients in the study group and six patients in the control group became pregnant again. No complication during their pregnancies and second cesarean operation were encountered. Conclusion: With the Turan technique, the uterine incision length becomes shorter, and the frequency of uterine scar defect is lower regarding short-term results. More data is needed for long-term results. ClinicalTrials.gov NCT01287611

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“…It is wellknown that different surgical approaches e.g. blunt vs. sharp dissections, transverse lower uterine segment incision vs. other incisions, single vs. double layer uterine closure, continuous vs. interrupted suture of the uterus can markedly influence the healing process 1 . However, conditions such as emergency SC and infection can affect healing of the uterus even more 2 .…”

Section: Introductionmentioning

confidence: 99%

Dehiscent scar in the lower uterine segment after Caesarean section and IVF infertility treatment: A case report

Filipčíková

Oborná²,

Březinová³

et al. 2014

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aims. Caesarean section is the most common obstetric operation associated with short and long term risks, one of which is uterine scar dehiscence. In this case report we describe four cases of in vitro fertilization and embryo transfer (IVF + ET) treatment where the embryo was transferred into the uterus with known scar dehiscence in the lower uterine segment after a previous Caesarean section (SC). Methods. All transfers of embryos were ultrasound guided directly into the middle of uterine cavity. All resulting pregnancies continued without problems related to the dehiscent scar and babies were delivered in the third trimester by elective/emergency SC. Results. Our cases suggest that IVF + ET can be offered as an infertility treatment option despite a dehiscent scar in the lower uterine segment after previous SC.

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Surgical techniques for uterine incision and uterine closure at the time of caesarean section

Abstract: While caesarean section is a common procedure performed on women worldwide, there is little information available to inform the most appropriate surgical technique to adopt.

Cited by 75 publications

References 45 publications

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

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

Purse‐string double‐layer closure: A novel technique for repairing the uterine incision during cesarean section

Dehiscent scar in the lower uterine segment after Caesarean section and IVF infertility treatment: A case report

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