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Uterine Niche clinical trials

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NCT ID: NCT04825821 Completed - Clinical trials for Cesarean Section Complications

Cesarean Scar Defects After Uterine Closure by Double-layer Barbed or Smooth Suture

Start date: March 1, 2019
Phase:
Study type: Observational

Late sequelae of a cesarean section related to a uterine scar defects include gynecological symptoms and obstetric complications. The aim of this study was to evaluate the incidence and characteristics of cesarean scar defects after uterine closure by double-layer barbed suture.

NCT ID: NCT04799457 Recruiting - Uterine Niche Clinical Trials

Comparison the Effect of Uterine Closure Technique Difference on Uterine Niche After Caesarean Delivery.

Start date: February 1, 2021
Phase: N/A
Study type: Interventional

Caesarean section scar may have result as isthmocele or scar detachment during pregnancy which is in few years after previous delivery. Uterine niche is the most effectively used measurement side of uterus to estimate for these detachment complications. The aim of this study is to support this niche site by supporting the classical uterine closure technique.

NCT ID: NCT04241107 Recruiting - Uterine Niche Clinical Trials

Laparoscopic Versus Transvaginal Approaches in Repair of Uterine Niche: A Randomized Controlled Trial

isthmocele
Start date: March 2020
Phase: N/A
Study type: Interventional

The treatment of uterine niche ranges from clinical management with expectant or pharmacological treatment, surgical treatment. Approaches for repair include Laparotomy, laparoscopy , hysteroscopy , vaginal. The decision to treat takes into consideration the size of the defect, presence of symptoms, secondary infertility and plans of pregnancy. All of the approaches have its merits and debates. There is ongoing debate regarding the best surgical approach to managing this condition. To date no randomized controlled trials have been published to settle this debate. Our study aim is to to evaluate which surgical approach is a preferable option, this study will be conducted to compare the Laparoscopic and transvaginal approaches in several regards, including, operation time, blood loss, perioperative complications, hospital stay length, postoperative increase in residual myometrial thickness during follow-up , clinical efficacy(percentage of patients who subject improvement of symptoms)