Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

Impact of Barbed Suture on Uterine Healing After Cesarean Section

Official title: Clinical Impact of Uterine Repair During Cesarean Section With Barbed Suture on the Incidence of Isthmocele and Its Ultrasound and Molecular Characteristics: a Randomized Controlled Trial

Run by Hospital Clinic of Barcelona · NCT06691750 · Data updated 2026-11-12

This study tests if using barbed sutures instead of regular sutures during cesarean sections helps pregnant women heal better and reduces complications.

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Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment420 (estimated)
SponsorHospital Clinic of Barcelona
Academic / other
Locations1 site (Barcelona)
StatusRecruiting
StartedNovember 22, 2024
Main results expectedDecember 2027
Study endsMay 2028
Registry record updatedNovember 3, 2026
Trial IDNCT06691750 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are pregnant women delivering via cesarean section at the Hospital Clinic of Barcelona, regardless of their pregnancy risk.

Probably not a fit

Patients who deliver vaginally or have a prior diagnosis of isthmocele will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the effects of using barbed sutures versus conventional sutures for uterine repair during cesarean sections. Pregnant women undergoing cesarean delivery at a tertiary care hospital will be randomly assigned to either suturing technique. The study aims to evaluate clinical outcomes, ultrasound assessments of the uterine scar, and the molecular environment within the uterine cavity over a six-month follow-up period. The primary focus is to determine if barbed sutures lead to better healing and lower incidence of isthmocele compared to traditional sutures.

Why it matters

Potential benefit: If successful, this approach could significantly reduce the incidence of isthmocele and related complications in women after cesarean delivery.

How similar studies have gone: While the use of barbed sutures is gaining attention, this specific comparison with conventional sutures in the context of cesarean sections is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Pregnant women who deliver at Hospital Clinic of Barcelona by a planned, intrapartum or urgent cesarean section, irrespective of their pregnancy risk.
* Had accepted to participate in the study during the third trimester of gestation.
* Patients who accept a 6-month follow-up visit.
* Minimal maternal age of 18 years old.

Exclusion Criteria:

* Patients who end up delivering in another center.
* Patients who deliver by vaginal route.
* Patients diagnosed with isthmocele prior to the current pregnancy.
* Need for histerectomy in the following 6 months after delivery.
* Patients with known allergies to any of the components of the barbed suture.

Where it's running

  • Hospital Clínic de Barcelona
    Barcelona, Spain
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.