Two-layer interrupted versus two-layer continuous sutures for preventing cesarean scar defect: a randomized controlled trial.

ABSTRACT:

Background

Cesarean scar defects can lead to long-term complications, such as cesarean scar disorders, cesarean scar pregnancy, and the risk of uterine scar dehiscence and rupture in subsequent pregnancy. However, the optimal closure technique to prevent the development of cesarean scar defects (CSD) remains unclear. Therefore, this study aimed to explore whether two-layer interrupted versus two-layer continuous sutures could prevent the formation of CSD.

Methods

A randomized controlled trial was conducted in a single university hospital in Japan. We recruited pregnant women with ≥ 20 primary or previous cesarean sections. Participants were randomly assigned to either a two-layer interrupted or a two-layer continuous suture group. Residual myometrial thickness (RMT) and the

SUBMITTER: Tsuji S 

PROVIDER: S-EPMC11887084 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature