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Difference Between Monofilament Versus Multifilament Suture Material in Isthmocele Formation

RecruitingNAAges 20 Years - 45 YearsFemaleAin Shams Maternity Hospital
NCT06741371 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This thesis conducts the effect of using different suture materials on the development of uterine scar niche after cesarean section. The difference between monofilament and multifilament sutures and the special properties of each one . The primary outcome of the study is to know which material conducts more scar niche formation . Secondary outcomes are the extent of blood loss , the need of extra hemostatic sutures

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age: 20-45 years old * Singleton pregnancy. * Gestational age between 37 completed weeks to 42 weeks. * Patients undergoing elective primary caesarean section Exclusion Criteria: * History of uterine surgery (e.g. hysterotomy, myomectomy, perforation, caesarean section). (to be able to differentiate between the recent CS scar and the old scar) * Abnormal placental invasion (placenta previa and accrete ) ( more liable to undergo Cesarean hysterectomy) * Uterine anomalies (e.g., septum, Mullerian anomalies or fibroids). (may be localized at the suture line and therefore affect the scar) * Drugs intake that affects bleeding or tissue healing e.g., anti-coagulants, immunosuppressive drugs and chronic use of steroids (more than 14 days pre-operative) * Any medical Co-morbidity (diabetes mellitus, Hypertension and Thyroid abnormalities) (more liable to affect the healing)
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What it tests

  • Monocryl
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Where

1 site
Faculty of medicine
Cairo, Egypt
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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