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A Comparison of the Effects of Two Suture Materials on Isthmocele Formation: A Cohort Study Publisher Pubmed



Hosseini R1 ; Mansoorli S2 ; Pirjani R2 ; Eslamian L3 ; Rabiee M2
Authors
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Authors Affiliations
  1. 1. Research Development Center, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Obstetrics and Gynecology, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Gynecology Obstetrics and Human Reproduction Published:2021


Abstract

Objective: Cesarean scar defects (CSD) are a problem that may lead to complications and excessive cost. The optimal way to suture the uterus is a matter of debate. The aim of this study was to evaluate the effect of two suture materials on cesarean scar niches. Study design: This was a cohort study that allocated women into two groups: uterotomy closure with vicryl or catgut sutures. Transvaginal ultrasound (TVUS) was performed six months after the cesarean section (CS) to assess the scar. Results: Totally, 250 patients enrolled in this study. After six months, 20 (18.2 %) patients in the catgut suture group and 13 (9.3 %) patients in the vicryl group had isthmocele according to their sonography reports. The prevalence of isthmocele was higher in the catgut group (p = 0.03). The residual myometrial thickness was greater in the vicryl group (4.98 cm ± 2.18) compared to the catgut suture group (3.70 cm ± 1.50; p = 0.001). The prevalence of postoperative gynecological sequelae such as postmenstrual spotting and pain were similar between the two groups. Conclusion: Vicryl sutures were associated with a lower risk of CSD formation in comparison with catgut sutures. © 2020 Elsevier Masson SAS
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