Transverse uterine incision closure: One versus Two layers.
- Author:
Sang Hee LEE
;
Yu Seon MIN
;
Eun Hye LEE
;
Hyun Chul KIM
;
Chan LEE
;
Myung Chul SHIN
;
Jin Ho CHO
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Cesarean incision closure;
operative technique;
Transvaginal sonohysteroperitoneography
- MeSH:
Animals;
Female;
Follow-Up Studies;
Hemostasis;
Humans;
Mice;
Myometrium;
Operative Time;
Sutures;
Uterus
- From:Korean Journal of Obstetrics and Gynecology
2000;43(3):368-374
- CountryRepublic of Korea
- Language:Korean
-
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. Study design: 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.
