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Comparison of Purse String Suture vs Transverse Mattress Suture to Maintain Hemostasis in Thinned-out Caesarean Sections Scars

NCT07758959 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60

Last updated 2026-08-11

No results posted yet for this study

Summary

Brief Summary The goal of this clinical trial is to compare the effectiveness of purse-string suture versus transverse mattress suture for achieving hemostasis in women with thinned-out lower uterine segment scars undergoing repeat cesarean section. The study aims to determine whether the purse-string suture technique provides faster and more effective hemostasis than the transverse mattress suture technique.

The main questions it aims to answer are:

* Does the purse-string suture reduce the time required to achieve hemostasis compared with the transverse mattress suture?
* Does the purse-string suture reduce the number of additional sutures required to achieve adequate hemostasis? Researchers will compare purse-string suturing with transverse mattress suturing to determine which technique achieves hemostasis more efficiently in women with thinned-out cesarean section scars.

Participants will:

* Undergo repeat cesarean section under standard surgical care.
* Be randomly assigned to receive either purse-string suturing or transverse mattress suturing for repair of the thinned-out lower uterine segment after closure of the first uterine layer.
* Have the time required to achieve hemostasis and the number of sutures required recorded intraoperatively.
* Receive routine postoperative management according to institutional protocols. Suggested improvement

Although the thesis mentions only time to achieve hemostasis and number of sutures as outcomes, ClinicalTrials.gov prefers that the primary outcome be clearly identified. Since your sample size was calculated using time to achieve hemostasis, I recommend presenting it as:

* Primary outcome: Time to achieve hemostasis (minutes)
* Secondary outcomes: Number of sutures required for hemostasis; duration of cesarean section (minutes)

Conditions

  • Thinned-out Lower Uterine Segment Scar Previous Cesarean Section

Interventions

PROCEDURE

Purse-String Suture

Purse-string suturing of the thinned-out lower uterine segment during repeat cesarean section.

PROCEDURE

Transverse Mattress Suture

Transverse mattress suturing of the thinned-out lower uterine segment during repeat cesarean section.

Sponsors & Collaborators

  • Lahore General Hospital

    collaborator OTHER_GOV

  • Natasha Bushra

    lead OTHER_GOV

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Max Age
40 Years
Sex
FEMALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2026-08-06
Primary Completion
2026-12-01
Completion
2026-12-01

Countries

  • Pakistan

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07758959 on ClinicalTrials.gov