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Hydrosonographic assessment of the effects of 2 different suturing techniques on healing of the uterine scar after cesarean delivery

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dc.contributor.authorSevket, OSMAN
dc.contributor.authorAtes, SEDA
dc.contributor.authorMOLLA, Taner
dc.contributor.authorOZKAL, Fulya
dc.contributor.authorUysal, Omer
dc.contributor.authorDansuk, RAMAZAN
dc.contributor.institutionauthorŞEVKET, OSMAN
dc.contributor.institutionauthorATEŞ, SEDA
dc.contributor.institutionauthorUYSAL, ÖMER
dc.contributor.institutionauthorDANSUK, RAMAZAN
dc.date.accessioned2019-10-05T13:35:24Z
dc.date.available2019-10-05T13:35:24Z
dc.date.issued2014-06-01
dc.description.abstractObjective: To compare the effects of 2 suturing techniques (single versus double layer) on healing of the uterine scar after a cesarean delivery. Methods: In the present randomized, prospective study, 36 women with a term pregnancy who had an elective cesarean delivery were randomly assigned to closure of the uterine incision with a single-layer locked suture or with a double-layer locked/unlocked suture. Six months after the operation, the integrity of the cesarean scar at the uterine incision site was assessed by hydrosonography. The healing ratio and the thickness of the residual myometrium covering the defect were calculated as markers of uterine scar healing. Results: There were no significant differences between the groups in terms of estimated blood loss, operation time, or additional hemostatic suture. However, the mean thickness of the residual myometrium covering the defect was 9.95 +/- 1.94 mm after a double-layer closure and 7.53 +/- 2.54 mm after a single-layer closure (P = 0.005). The mean healing ratio was significantly higher after a double-layer closure (0.83 +/- 0.10) than after a single-layer closure (0.67 +/- 0.15; P = 0.004). Conclusion: A double-layer locked/unlocked closure of the uterine incision at cesarean delivery decreases the risk of poor uterine scar healing. (C) 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
dc.identifier10.1007/s00056-017-0089-x
dc.identifier.citationSevket O., Ates S., MOLLA T., OZKAL F., Uysal O., Dansuk R., -Hydrosonographic assessment of the effects of 2 different suturing techniques on healing of the uterine scar after cesarean delivery-, INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, cilt.125, ss.219-222, 2014
dc.identifier.doi10.1016/j.ijgo.2013.11.013
dc.identifier.pubmed24680843
dc.identifier.scopus84900338933
dc.identifier.urihttps://hdl.handle.net/20.500.12645/2460
dc.identifier.wosWOS:000337658300005
dc.language.isoen
dc.titleHydrosonographic assessment of the effects of 2 different suturing techniques on healing of the uterine scar after cesarean delivery
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameJOURNAL OF OROFACIAL ORTHOPEDICS-FORTSCHRITTE DER KIEFERORTHOPADIE
local.avesis.id3c260d02-0614-4a9c-bc20-2a761cb6ad47
local.avesis.response2330
local.publication.goal16 - Barış, Adalet ve Güçlü Kurumlar
local.publication.isinternational1
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