Transverse uterine incision closure: One versus Two layers / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 368-374, 2000.
Article
in Korean
| WPRIM
| ID: wpr-154485
ABSTRACT
OBJECTIVE:
Closure of a low transverse cesarean incision with one layer and two layer, we compared operative time, hemostasis, blood loss and postoperative sonohysteroperitoneographic findings. Studydesign:
At our hospital 103 women were randomized to closure of a low transverse cesarean incision with either one continuous layer of a locking No. 1 chromic suture or two continuous of No. 1 chromic suture with the first layer locked between Mar. 1, 1998 and Dec. 31, 1998. After three months later, sonhysteroperitoneography was taken and then we evaluated uterus indirectly.RESULTS:
A one layer closure required less operative time, 16 versus 20.8 minutes (p<0.01), less hemoglobin change, 0.44 versus 1.3 (p<0.01) and less suture materials (p<0.01). But postoperative follow up sonohysteroperitoneography, a one layer closure shows slightly thinning of isthmic layer of myometrium, two layer closure shows more adhesional band and both are similar other findings.CONCLUSION:
A one layer does not significantly affect the clinical course than traditional two layer closure. So we recommended a one layer closure when its use is anatomically feasible.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sutures
/
Uterus
/
Follow-Up Studies
/
Operative Time
/
Hemostasis
/
Myometrium
Type of study:
Controlled clinical trial
/
Observational study
/
Prognostic study
Limits:
Animals
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2000
Type:
Article
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