NCT07074522

Transvaginal Ultrasound Assessment of Caesarean Section Uterine Scar Closed by Single Versus Double Layer

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: Tanta University · Academic / Other
• Sex: Female
• Age: 20 Years – 40 Years
• Healthy volunteers: Not accepted

Summary

This study aimed to evaluate uterine scar thickness and integrity using transvaginal ultrasonography in women randomly assigned to single versus double-layer closure of the uterine incision, with a comparison between the two groups.

Detailed description

Cesarean section (CS) is one of the most commonly performed major abdominal operations in women in both high and low-income countries. Single-layer closure using a running locking stitch is associated with decreased operative time and fewer additional haemostasis sutures. An extensive Canadian study found a fourfold increase in the risk of uterine rupture in a woman who had a single layer in their previous pregnancy. Transvaginal ultrasound is a validated tool for evaluating uterine scar defects, commonly referred to as a niche. It is used to asses the uterine scar thickness in a women with previous cesarean delivery.

Conditions

• Transvaginal Ultrasound
• Caesarean Section
• Uterine Scar
• Single Layer
• Double Layer

Interventions

Type	Name	Description
PROCEDURE	Single-layer closure	Patients who underwent single-layer closure of the transverse lower segment during cesarean section.
PROCEDURE	Double-layer closure	Patients who underwent double-layer closure of the transverse lower segment during cesarean section.

Timeline

• Start date: 2023-12-01
• Primary completion: 2024-11-01
• Completion: 2024-11-01
• First posted: 2025-07-20
• Last updated: 2025-07-20

Locations

1 site across 1 country: Egypt