The Effect of Uterine Closure Methods During Cesarean Section on Isthmocele Development
Cerrahpaşa Medical Journal, cilt.48, sa.3, ss.267-271, 2024 (TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 48 Sayı: 3
- Basım Tarihi: 2024
- Doi Numarası: 10.5152/cjm.2024.24013
- Dergi Adı: Cerrahpaşa Medical Journal
- Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.267-271
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
Objective: Isthmocele is frequently encountered due to the increasing rates of cesarean deliveries nowadays. This study aims to evaluate the effective- ness of uni-layer and dual-layer uterine closure techniques in preventing isthmocele formation 6 months post-cesarean delivery. Methods: This retrospective study involved 57 women aged 18-35 who had planned cesarean sections after 38 gestational weeks with singleton pregnancies at our hospital between 2019 and 2020. Patients were categorized into 2 groups based on the uterine closure method used during the cesarean sections: uni-layer technique vs. dual-layer technique. The main outcome was the incidence of isthmocele formation at the post-operative 6th month. Secondary outcomes included the remaining myometrial thickness and posterior uterine wall thickness at the 6-month follow-up. Results: At the 6-month post-cesarean section follow-up, ultrasound revealed isthmocele formation in 17 patients (60.7%) in the uni-layer group and 6 patients (20.6%) in the dual-layer group. The remaining myometrial thickness (RMT) was 5.7 ± 1.4 mm in the uni-layer group and 6.5 ± 1.4 mm in the dual-layer group (P = .04). Remaining myometrial thickness and posterior uterine wall thickness were positively correlated. Conclusion: The isthmocele development was significantly affected by the uterine closure method. The dual-layer closure method can be used to reduce the risk of isthmocele development.