Closure vs Non Closure of Rectus Muscle at Cesarean Section 5 Year Study

Intraperitoneal Adhesions After Rectus Muscles Approximation Clinical Trial

Official title:

Closure vs Non Closure of Rectus Muscle at Cesarean Section Reducing Post Cesarean Adhesions

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04548570
• Other study ID #: assisstant professor
• Status: Recruiting
• Start date: January 1, 2020
• Est. completion date: August 2022

Study information

• Verified date: January 2022
• Source: Cairo University
• Contact: hany saad, assisstant prof
• Phone: 01001817211
• Email: hanysaad25280[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

approximation of both recti during lower segment cesarean section may be an important step to lower incidence of intraabdominal adhesions . peritoneal adhesions are of major medical importance and are associated with clinical problems such as chronic pain and infertility.

Description:

all patients included in the study should be had the operative history of the previous cesarean section and were done in the cairo university and divid them into 2 groups. 1st group were both recti approximated while the second group were closed without approximating both recti. all patients will be subjected to lower segment cesarean segment to assess the intraperitoneal adhesions, mean operative time, mean hospital stay, postoperative distension, bowel sounds, postoperative infections and morbidity

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 360
• Est. completion date: August 2022
• Est. primary completion date: March 1, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• all patients of first lower segment cs at kasr al ainy with previous recorded data including operative data, postoperative data including complications. all patients included in the study are elective cesarean section at 38 weeks of gestation

Exclusion Criteria:

• no history of infection or medical disease

• no history of previous laparotomies

• no history of pregnancy complications

• patients noted to have intraperitoneal adhesions in first cesarean section

Related Conditions & MeSH terms

• Intraperitoneal Adhesions After Rectus Muscles Approximation
• Tissue Adhesions

Intervention

Procedure:
• approximation of both rectus muscles
closure of both rectus muscle before closure of rectus sheeth

Locations

Country	Name	City	State
Egypt	Cairo University	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	assessment of the intraperitoneal adhesions post rectus muscle closure	assessment of adhesions bands between the pelvic organs and bowel	intraoperative
Secondary	mean operative time	calculate the mean time for closure of both recti	intraopertive time
Secondary	mean hospital stay	assess the postoperative time of hospital stay	posoperative within first 48 hrs
Secondary	mean postoperative bowel sounds	interval between operation and listening the bowel sounds	posoperative within 24 hrs
Secondary	postoperative distension	assessment of bowel distension postoperative	posoperative within 24 hrs
Secondary	postoperative morbidity and infections	assess the tempreture, scars	posoperative within 1 week