Effect of Single versus Double Layer Suturing of the Uterus on Uterine Healing and Formation of Scar Niche | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 4, April 2025, Page 258-264 PDF (355.19 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aimj.2025.446534 | ||||
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| Authors | ||||
| Elsayed Mohamed Taha; Abdelrahman Ragab Rashed Abdelmaksoud; Mahmoud Abdelkawy Abdelghany | ||||
| Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: It is common knowledge that every cesarean section(CS) results in the production of uterine scars; 50-70% of individuals experience a cesarean scar deformity as a result of inadequate tissue repair. Aim and objectives: To evaluate the effect of two suture patterns used in closure of uterine incision during cesarean section and their role in CS niche formation in elective CS. Patients and methods: The 88 pregnant women who participated in this prospective comparative randomized trial were split into two groups based on the pattern of sutures used to close the uterine incision after a cesarean section. From June to December of 2024, researchers from Al-Hussein and Bab Al-Sharya University Hospital's Obstetrics and Gynecology Department carried out the study. Results: Fifty percent of patients in the single-layer group and 29.5% in the double-layer group had niche scars, a difference that was statistically significant (p=0.01). However, with a p-value of only 0.09, the median depth of the niche scar was 2.5 mm in the double-layer group and 1.8 mm in the single-layer group. The single-layer group had a median niche scar length of 4.6 mm, whereas the double-layer group had a median length of 2.9 mm (p=0.02). With a p-value of 0.001, the median niche width was 4.2 mm in the single-layer group and 1.9 mm in the double-layer group. Conclusion: This study found that double-layer uterine closure result in less rates of niche formation, also it was associated with decrease in length and width of scar. While single-layer closure offered the advantage of shorter operative times, it did not appear to increase the risk of immediate postoperative complications in our sample. | ||||
| Keywords | ||||
| Double layer suturing; Uterine healing; Scar niche | ||||
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