Evaluating three suturing techniques for closing cesarean incisions
Niche Investigated: Closure of Hysterotomy & Evaluation of 3 Suturing Techniques (Running, Interrupted, and Locked)
This study is testing which of three different stitching methods for closing cesarean incisions helps women heal better and have fewer issues with their scars after surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 225 (estimated) |
| Ages | 18 Years to 35 Years |
| Sex | Female |
| Sponsor | Cairo University Academic / other |
| Locations | 5 sites (Cairo and 4 other locations) |
| Trial ID | NCT06695793 on ClinicalTrials.gov |
What this trial studies
This study investigates the effects of three different suturing techniques—Running, Interrupted, and Locked—on the formation of a cesarean scar niche in women undergoing elective cesarean sections. The participants will be women with singleton pregnancies, aged 18 to 35, and with a BMI under 30, scheduled for cesarean delivery at 38 to 40 weeks of gestation. The study aims to determine which suturing method may lead to better outcomes in terms of scar formation and healing. Participants will be monitored for their willingness to provide informed consent and meet specific health criteria.
Who should consider this trial
Good fit: Ideal candidates are women aged 18 to 35 with a singleton pregnancy scheduled for elective cesarean section.
Not a fit: Patients with known uterine anomalies, pre-existing medical conditions, or those requiring extensive suturing may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved surgical techniques that minimize complications related to cesarean scars.
How similar studies have performed: While the specific suturing techniques have been explored in various contexts, this study's focus on their impact on cesarean scar niche formation is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Women with a singleton pregnancy scheduled for elective cesarean section 2. Gestational age at the time of cesarean section between 38 and 40 weeks. 3. Willingness to participate in the study and provide informed consent 4. Age between 18 and 35 years old. 5. BMI \<30 Exclusion Criteria: 1. Known uterine anomalies or previous uterine surgery (e.g, myomectomy, uterine septum resection) 2. Pre-existing medical conditions contraindicating cesarean delivery or affecting uterine healing (e.g., Anemia, Diabetes) 3. Current smokers. 4. Non-cephalic presentation of the fetus. 5. Low-lying anterior wall placenta and placenta previa. 6. Inability to provide informed consent (e.g., cognitive impairment, language barrier) 7. Any condition deemed by the attending physician to pose a risk to the participant or compromise the study's integrity, for example, Patients who will require excessive suturing for further hemostasis or those who require ligation of one or both uterine arteries
Where this trial is running
Cairo and 4 other locations
- Cairo University — Cairo, Egypt (Recruiting)
- Cairo University — Cairo, Egypt (Recruiting)
- Cairo University — Cairo, Egypt (Recruiting)
- Cairo University — Cairo, Egypt (Recruiting)
- Cairo University — Cairo, Egypt (Recruiting)
Study contacts
- Study coordinator: Abdalla Moussa
- Email: Dr_abdallamousa@yahoo.com
- Phone: +20127664430
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.