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298149

Comparative Study between Purse-String Double-Layer and Classical Closure for Repairing the Uterine Incision During Cesarean Section

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Gynecology and Obstetrics

Abstract

Background: Caesarean section rates continue to raise concerns due to their steady rise, especially in middle- and high-income countries.
Aim of the work: The purse string double layer technique [Turan technique] and the conventional double layer method for closing the uterine incision following caesarean section were compared in the postoperative findings of this study.
Patients and Methods: Eighty subjects divided randomly into two groups:  Group [I]: pregnant women underwent uterine incision closure by classic double layer technique. Group [II]: pregnant women underwent uterine incision closure by purse string double layer [Turan] technique. Patients were examined and evaluated at the out -patient Gynecology Clinic in Al-Azhar University Hospital [Damietta].
Results: The length of the uterine closure and the overall operation duration, which were greater in Group II, as well as the length of the Kerr incision after suturing [cm], which was shown to be longer in Group I, were both highly statistically significant differences between the two groups. Additionally, there were more statistically significant differences between the two groups in terms of the length of the Kerr incision before suturing [cm], the number of patients who needed additional sutures for haemostasis, the levels of haemoglobin before and after surgery, the amount of blood lost during the procedure, and the level of pain after the procedure.
Conclusion: Based on the results of this study, Turan technique associated with better cesarean scar healing as regard [RMT, incidence of CS defect, scar length] than classic double layer technique.

DOI

10.21608/ijma.2023.179242.1566

Keywords

cesarean section, Purse-string, Double-layer

Authors

First Name

Mohamed

Last Name

Shenishan

MiddleName

Elsayed

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt

Email

ffd3994@gmail.com

City

-

Orcid

-

First Name

Mahmoud

Last Name

Midan

MiddleName

Farouk

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt

Email

dr-midan@hotmail.com

City

-

Orcid

-

First Name

Alaa Eldin

Last Name

Megahed

MiddleName

Mahmoud

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt

Email

dr.alaamegahed@domazhermedicine.edu.eg

City

Damietta

Orcid

-

First Name

Hamada

Last Name

Aboelmaaty

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt

Email

hamadamatti44@gmail.com

City

-

Orcid

-

Volume

5

Article Issue

3

Related Issue

41247

Issue Date

2023-03-01

Receive Date

2022-12-06

Publish Date

2023-03-01

Page Start

3,085

Page End

3,092

Print ISSN

2636-4174

Online ISSN

2682-3780

Link

https://ijma.journals.ekb.eg/article_298149.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=298149

Order

2

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Comparative Study between Purse-String Double-Layer and Classical Closure for Repairing the Uterine Incision During Cesarean Section

Details

Type

Article

Created At

24 Dec 2024