Removal Versus Non Removal of Ceserean Section Scar .

Cesarean Wound; Dehiscence Clinical Trial

— cs  

Official title:

EXCISION of CAESAREAN SECTION SKIN SCAR AND SUBCUTANEOUS RELEASE VERSUS NON REMOVAL IN REPEATED CAESAREAN SECTION.

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05150678
• Other study ID #: obstetric and gynacology
• Status: Not yet recruiting
• Phase: N/A
• Start date: April 2022
• Est. completion date: December 2023

Study information

• Verified date: November 2021
• Source: Assiut University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

EXCISION of cs section skin scar and subcutaneous release versus non removal in repeated cs .aRandomized controlled trial .

Description:

All eligible participants will randimized into two groups ; gruop 1 skin removal in which we will going to remove skin scar gruop 2 skin non removal ;direct open in the middle of the previous scar Follow up will be recorded for each participant aphoto will be taken postoperative to score the healing of the wound the follow up will be at one week ,then one month ,then three month acomparison between the two groups will be done .

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 600
• Est. completion date: December 2023
• Est. primary completion date: November 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: N/A and older

Eligibility

Inclusion Criteria:

1. women with repeated ceserean section

2. pregnant women >32 wk

Exclusion Criteria:

• DM bleeding tendency preeclampsia previous history of wound infection chronic steroid use women refused to participate in Randomized clinical trial

Related Conditions & MeSH terms

• Cesarean Wound; Dehiscence

Intervention

Procedure:
• removal of ceserean section scar
we will remove the previous scar in group A
• non removal of cesearean section scar
we will open in the previous cesearean scar in group B

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & Publications (2)

Altman AD, Allen VM, McNeil SA, Dempster J. Pfannenstiel incision closure: a review of current skin closure techniques. J Obstet Gynaecol Can. 2009 Jun;31(6):514-520. doi: 10.1016/S1701-2163(16)34213-X. Review. — View Citation

Kawakita T, Landy HJ. Surgical site infections after cesarean delivery: epidemiology, prevention and treatment. Matern Health Neonatol Perinatol. 2017 Jul 5;3:12. doi: 10.1186/s40748-017-0051-3. eCollection 2017. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	the healing score	we will follow up the scar postoperative to compare the healing score by observer scar assessment scale maximaum score 5and patient scar assessment scale.maximum score 10.means WORST scale .	through the study duration AVERAGE ONE YEAR.
Secondary	the cosmotic appereance of the scar	we will follow up the scar healing postoperative by the observer scale assessment score and the patient scar assessment scale .	through the study duration an average one year