- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04799457
Comparison the Effect of Uterine Closure Technique Difference on Uterine Niche After Caesarean Delivery.
March 11, 2021 updated by: Ergul Demircivi Bor, Kanuni Sultan Suleyman Training and Research Hospital
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.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Cesarean delivery rate continues to increase in world in concern with uterine scar complications as placental invasion abnormalities, isthmocele or previous scar detachment during pregnancy (post surgical long term complications).
Uterine niche is the presence of a hypoechoic area within the myometrium on the lower uterine segment, showing a defect of the myometrium at the site of a previous cesarean delivery.
Some surgical techniques have been trying to support this area to prevent the post surgical long term complications.
In this study the investigators have been trying to find out a new technique by applying supporting sutures during uterine closure in cesarean section.
Three months after the surgery, the uterine niche measurement will be examined with ultrasonography for both study and classical groups and results will be compared between the groups.
Study Type
Interventional
Enrollment (Anticipated)
100
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Ergul Demircivi Bor
- Phone Number: 360206 +902166065200
- Email: drergul@yahoo.com
Study Locations
-
-
Kadikoy
-
Istanbul, Kadikoy, Turkey, 34722
- Recruiting
- Prof Dr Suleyman Yalcin Goztepe City Hospital
-
Contact:
- Ergul Demircivi Bor
- Phone Number: +902166065200
- Email: drergul@yahoo.com
-
Principal Investigator:
- Ergul Demircivi Bor
-
Sub-Investigator:
- Mehmet Kucukbas
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 40 years (ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Primigravid elective caesarian delivery candidates
- The participants will have not any uterine contraction or cervical dilatation before delivery.
- Having no systemic or obstetric illnesses
- Participants who are accept to participate in this study with their written consent.
Exclusion Criteria:
- Previous caesarian delivery
- Having uterine contraction or cervical dilatation
- Smoking cigarettes
- Having systemic or obstetric illnesses
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
NO_INTERVENTION: Classical caesarean group
Care providers are applying standard caesarean procedure for participants.
|
|
EXPERIMENTAL: Study caesarean group
Care providers are applying additional sutures to standard caesarean procedure for participants.
|
We wil apply additional sutures to classical caesarean procedure.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants for each group for study
Time Frame: Up to 9 months
|
We will try to reach fifty participants for each group (study group as classical cesarean with supporting suture and control group as classical cesarean) .
When we reach to all participants we will stop to enroll the participants.
|
Up to 9 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Ergul Demircivi Bor, Prof Dr Suleyman Yalcin Goztepe City Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Bennich G, Rudnicki M, Wilken-Jensen C, Lousen T, Lassen PD, Wojdemann K. Impact of adding a second layer to a single unlocked closure of a Cesarean uterine incision: randomized controlled trial. Ultrasound Obstet Gynecol. 2016 Apr;47(4):417-22. doi: 10.1002/uog.15792.
- Roberge S, Demers S, Girard M, Vikhareva O, Markey S, Chaillet N, Moore L, Paris G, Bujold E. Impact of uterine closure on residual myometrial thickness after cesarean: a randomized controlled trial. Am J Obstet Gynecol. 2016 Apr;214(4):507.e1-507.e6. doi: 10.1016/j.ajog.2015.10.916. Epub 2015 Nov 11.
- Sevket O, Ates S, Molla T, Ozkal F, Uysal O, Dansuk R. Hydrosonographic assessment of the effects of 2 different suturing techniques on healing of the uterine scar after cesarean delivery. Int J Gynaecol Obstet. 2014 Jun;125(3):219-22. doi: 10.1016/j.ijgo.2013.11.013. Epub 2014 Feb 28.
- Stegwee SI, Jordans I, van der Voet LF, van de Ven PM, Ket J, Lambalk CB, de Groot C, Hehenkamp W, Huirne J. Uterine caesarean closure techniques affect ultrasound findings and maternal outcomes: a systematic review and meta-analysis. BJOG. 2018 Aug;125(9):1097-1108. doi: 10.1111/1471-0528.15048. Epub 2018 Jan 30. Erratum In: BJOG. 2019 Feb;126(3):431.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
February 1, 2021
Primary Completion (ANTICIPATED)
July 31, 2021
Study Completion (ANTICIPATED)
October 31, 2021
Study Registration Dates
First Submitted
March 5, 2021
First Submitted That Met QC Criteria
March 11, 2021
First Posted (ACTUAL)
March 16, 2021
Study Record Updates
Last Update Posted (ACTUAL)
March 16, 2021
Last Update Submitted That Met QC Criteria
March 11, 2021
Last Verified
March 1, 2021
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 2021/0077
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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