Scalpel Versus Diathermy for Transverse Abdominal Incision in First Elective Caesarean Section

Launched by AZIENDA OSPEDALIERO-UNIVERSITARIA CONSORZIALE POLICLINICO DI BARI · Jun 7, 2023

Keywords

ClinConnect Summary

This clinical trial is designed to compare two different methods for making skin incisions during a first elective cesarean section (CS), specifically using a scalpel versus diathermy, which is a technique that uses heat to cut tissue. The researchers want to find out if one method causes less blood loss, takes less time, results in less pain after surgery, and leads to better healing and cosmetic results.

To be eligible for the study, women must be at least 18 years old, have a body mass index (BMI) within a certain range, and be having their first cesarean delivery for specific reasons, like a breech baby or failed labor induction. Participants will need to provide informed consent and will not have a history of previous abdominal surgeries. The study is not yet recruiting participants, so there's no immediate action needed. If you or someone you know is considering participating, it’s a chance to contribute to important research that could improve cesarean surgery outcomes for future mothers.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • 1. Women without a history of previous cesarean section or other abdominal surgery
• • 2. Age greater then 18 years (only adult patients)
• • 3. Body Mass Index (BMI) between 18.5 and 29.9 kg/m2
• • 4. Gestational age greater then 37 weeks (at term pregnancies)
• • 5. No contraindications to spinal anesthesia
• • 6. Indication to elective CS: extra-obstetrical reasons, failure of medical induction of labor, breech fetal presentation
• • 7. Informed consent
• Exclusion Criteria:
• • 1. Women refusing to participate in the study
• • 2. Women undergoing urgency or emergency cesarean deliveries
• • 3. Women with a history of previous cesarean section or abdominal surgery
• • 4. Women with multifetal pregnancies
• • 5. Necessity of general anesthesia
• • 6. Use of anticoagulants
• • 7. Patients needing a median longitudinal abdominal section
• • 8. Patients with pacemakers
• • 9. Allergy to cephalosporins
• • 10. Any medical disorder that can affect wound healing as diabetes, hypertension, hepatic or renal diseases, chronic anemia, chronic skin conditions, congenital or acquired bleeding diathesis.