Clinical Impact of Uterine Repair During Cesarean Section with Barbed Suture on the Incidence of Isthmocele
NCT06691750 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 364
Last updated 2025-03-13
Summary
Pregnant women, irrespective of their pregnancy risk, who undergo a cesarean section for any reason will be randomized to one of two suturing techniques: conventional suture or barbed suture for uterine repair after the cesarean section. Following surgery, these patients will be followed up for clinical outcomes, ultrasound evaluation of the uterine scar, and study of the hypoxic-inflammatory environment of the uterine cavity.
Conditions
- Isthmocele
- Cesarean Scar Defect
- Pelvic Pain
- Spotting
- Infertility
- Uterine Niche
- Uterine Abnormal Bleeding
- Niche
Interventions
- DEVICE
-
Barbed suture
Size 0 barbed absorbable monofilament suture with unidirectional spikes that includes a loop in one of its ends, not requiring knots.
- DEVICE
-
Conventional smooth suture
Size 1 smooth multifilament absorbable polyglactin suture.
Sponsors & Collaborators
-
Hospital Clinic of Barcelona
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-11-22
- Primary Completion
- 2027-11-30
- Completion
- 2028-05-31
Countries
- Spain
Study Locations
More Related Trials
-
Effects of Hysteroscopy and Transvaginal Surgery on Reproductive Prognosis in Patients With Post Cesarean Scar Defect
NCT04096677 ·Status: UNKNOWN
-
Effectiveness of Transvaginal Niche Resection Versus Expectant Management in Patients with Secondary Infertility and a Large Uterine Caesarean Scar Defect
NCT06599671 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
BARBED vs. STANDARD Suture for Colporrhaphy at the End of Laparoscopic Hysterectomy
NCT05833204 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Enhanced Reproductive Efficiency: Shorter Time to Pregnancy After Hysteroscopic-Assisted Novel Transvaginal Repair
NCT07169435 ·Status: COMPLETED
-
Impact of Different Hemostasis Methods on Ovarian Function and Fertility During Laparoscopic Ovarian Cystectomy of Benign Ovarian Cyst
NCT06350227 ·Status: RECRUITING ·Phase: NA
-
Barbed Suture vs Smooth Suture for Vaginal Cuff Closure
NCT01262573 ·Status: COMPLETED ·Phase: PHASE4
-
Isthmocele - Prediction, Prevention, Diagnosis, and Management
NCT04566575 ·Status: COMPLETED
-
Comparison of Hemostatic Agent to Suture in Terms of Hemostatic Function and Preservation of Ovarian Function
NCT04643106 ·Status: RECRUITING ·Phase: NA
-
Myomectomy During CS: A Retrospective Cohort Study
NCT03270605 ·Status: COMPLETED
-
Laparoscopic Versus Combined Laparoscopic and Hysteroscopic Repair of CS Niche
NCT05777837 ·Status: UNKNOWN ·Phase: NA
-
Barbed Suture in Single-port Laparoscopic Myomectomy
NCT01984632 ·Status: COMPLETED ·Phase: PHASE3
-
A Randomized Controlled Study of Uterine Incision Diverticulum Repair vs. no Repair During Second/Third Cesarean Section
NCT06612957 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Laparoscopic Myomectomy Using Barbed or Conventional Sutures
NCT02166411 ·Status: COMPLETED ·Phase: PHASE2
-
Impact of Uterine Closure Techniques on the Cesarean Scar Thickness After Repeated Cesarean Section
NCT03644433 ·Status: UNKNOWN ·Phase: NA
-
Barbed Suture Versus Traditional Suture Material for Laparoscopic Myomectomy
NCT01347385 ·Status: UNKNOWN ·Phase: NA
-
Barbed Versus Conventional Sutures for Vaginal Cuff Closure During Total Laparoscopic Hysterectomy
NCT02998658 ·Status: UNKNOWN ·Phase: PHASE2
-
Combined Hystroscopic and Laparoscopic Repair of CS Scar Disorder
NCT07183501 ·Status: RECRUITING ·Phase: NA
-
Effectiveness of Three Steps Hysteroscopic Repair of Post Caesarean Isthmocele in Patients With Post Menstrual Spotting
NCT05062551 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Ultrasound-guided Transuterine Vaginal Biopsy Technique in Uterine Fibromatous Disease
NCT06576362 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Closure of Uterine Incision by Single or Double Layer Technique
NCT02144805 ·Status: COMPLETED ·Phase: NA
-
Comparative Effectiveness of Uterine Repair Surgery on Preventing Recurrence of Cesarean Sar Pregnancy
NCT06485180 ·Status: COMPLETED ·Phase: NA
-
Feasibility, Effectiveness and Safety of Outpatient Hysteroscopy
NCT04462835 ·Status: COMPLETED
-
Prevention of Intrauterine Adhesions After Hysteroscopic Metroplasty With Autocross-linked Hyaluronic Acid Gel
NCT02404454 ·Status: UNKNOWN ·Phase: NA
-
Extra - Abdominal Versus Intra - Abdominal Repair of the Uterine Incision at Cesarean Section
NCT02373501 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Uterine Cavity After Operative Hysteroscopy
NCT06924437 ·Status: NOT_YET_RECRUITING