A prospective comparative study of single-layer versus double-layer uterine closure techniques on cesarean scar formation.

ABSTRACT:

Background

This prospective clinical trial aimed to compare the effects of single-layer versus double-layer uterine closure techniques on cesarean scar healing in women undergoing repeat cesarean delivery.

Methods

Seventy women aged 18-50 years with a history of at least one prior cesarean delivery were randomized into two groups: single-layer non-locking closure (n = 35) and double-layer non-locking closure with surgical refreshing of the incision edges (n = 35). The primary outcome was residual myometrial thickness (RMT) measured by transvaginal ultrasonography at six months. Secondary outcomes included RMT at six weeks, healing ratios, presence of niche, operative time, transfusion need, infectious morbidity, and hospital stay duration. Sample size was based on preliminar

SUBMITTER: Ozler MR 

PROVIDER: S-EPMC12369026 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature