Clinical Impact of Uterine Repair During Cesarean Section with Barbed Suture on the Incidence of Isthmocele

Launched by HOSPITAL CLINIC OF BARCELONA · Nov 14, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at two different methods of stitching the uterus after a cesarean section to see which one leads to better outcomes for women. Specifically, it compares a traditional sewing technique to a newer method using barbed sutures. The goal is to find out if the type of suture used can help reduce issues like pelvic pain, spotting, and infertility that can result from a condition called isthmocele, which refers to a defect in the uterine scar.

To participate in this study, women must be pregnant and planning to deliver at the Hospital Clinic of Barcelona by cesarean section, whether it’s planned or needed in an emergency. They should be at least 18 years old and willing to attend a follow-up visit six months after delivery. Throughout the study, participants will have regular check-ins to monitor their recovery and assess the health of their uterine scar. This trial is currently recruiting participants, and it aims to provide valuable insights into how different suturing techniques can impact women's health after childbirth.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Pregnant women who deliver at Hospital Clinic of Barcelona by a planned, intrapartum or urgent cesarean section, irrespective of their pregnancy risk.
• • Had accepted to participate in the study during the third trimester of gestation.
• • Patients who accept a 6-month follow-up visit.
• • Minimal maternal age of 18 years old.
• Exclusion Criteria:
• • Patients who end up delivering in another center.
• • Patients who deliver by vaginal route.
• • Patients diagnosed with isthmocele prior to the current pregnancy.
• • Need for histerectomy in the following 6 months after delivery.
• • Patients with known allergies to any of the components of the barbed suture.