NCT02587013

Comparison of Uterine Repair Methods for Cesarean Delivery

Randomized Controlled Trial of Uterine Exteriorization Versus in Situ Repair for Elective Cesarean Delivery

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 180 (actual)
• Sponsor: Maisonneuve-Rosemont Hospital · Academic / Other
• Sex: Female
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This study is designed to compare the exteriorization of the uterus versus the in situ repair for closure of the hysterotomy incision with a completely standardized anesthetic protocol.

Detailed description

Two well-known uterine repair techniques are described; the uterus can be repaired in situ within the peritoneal cavity (intraabdominal) or exteriorized temporarily from the abdomen for the closure of the hysterotomy incision (extraabdominal). 3 meta-analysis on the topic were unable to demonstrate the superiority of one technique regarding maternal morbidities. However, there is a paucity of studies with a standardized anesthetic protocol evaluating these outcomes. This study will evaluate the impact of the uterine repair technique on different maternal morbidities; focusing on intra-operative nausea and vomiting under a standardized anesthetic protocol.

Conditions

• Complications; Cesarean Section

Interventions

Type	Name	Description
PROCEDURE	Type A of uterine repair: In situ	The uterine incision is closed with the uterus within the abdominal cavity
PROCEDURE	Type B of uterine repair: Exteriorization	The uterine incision is repaired with the exteriorization of the uterus

Timeline

• Start date: 2015-11-01
• Primary completion: 2018-07-01
• Completion: 2018-07-01
• First posted: 2015-10-27
• Last updated: 2018-12-17

Locations

1 site across 1 country: Canada