Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure
Aim: to determine the method of uterine closure in the planned caesarean section, optimizing its involution and reducing local inflammation. Material and methods: a prospective randomized controlled trial. 135 pregnant women undergone planned caesarian section were examined. We applied different met...
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| Format: | Article |
| Language: | Russian |
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Scientific Сentre for Family Health and Human Reproduction Problems
2017-09-01
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| Series: | Acta Biomedica Scientifica |
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| Online Access: | https://www.actabiomedica.ru/jour/article/view/427 |
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| author | V. A. Kramarskiy Y. V. Trusov |
| author_facet | V. A. Kramarskiy Y. V. Trusov |
| author_sort | V. A. Kramarskiy |
| collection | DOAJ |
| description | Aim: to determine the method of uterine closure in the planned caesarean section, optimizing its involution and reducing local inflammation. Material and methods: a prospective randomized controlled trial. 135 pregnant women undergone planned caesarian section were examined. We applied different methods of uterine closure: in Group 1 (36 women) - one-row continuous blanket Reverdin's suture; in Group 2 (39 women) - one-row continuous Schmieden's suture; in Group 3 (28 women) - two-row continuous Schmieden's suture; and in Group 4 (32 women) - separate two-row sutures (2nd row - inverted U-shaped). Results. The most aggressive in the severity and duration of the local inflammatory reaction is Schmieden's technique. A two-row suture has the most pronounced delaying effect on the uterine involution. We found a one-row continuous blanket Reverdin's suture to be the optimal method of uterine closure. Conclusion: In comparison with Schmieden's sutures (one- or two-row) or with a two-row interrupted suture, using a one-row continuous blanket Reverdin's suture in uterine closure after planned caesarian section is characterized with quicker involution of the uterus and suture areas above it, with less expressed and shortened inflammation, and with fewer complications. |
| format | Article |
| id | doaj-art-d551ac42ed7046baa6b0e4b8c8f50c62 |
| institution | Kabale University |
| issn | 2541-9420 2587-9596 |
| language | Russian |
| publishDate | 2017-09-01 |
| publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
| record_format | Article |
| series | Acta Biomedica Scientifica |
| spelling | doaj-art-d551ac42ed7046baa6b0e4b8c8f50c622025-08-20T03:56:54ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962017-09-0125(1)202510.12737/article_59e85bfc248a72.45112631427Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closureV. A. Kramarskiy0Y. V. Trusov1Irkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional EducationIrkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional EducationAim: to determine the method of uterine closure in the planned caesarean section, optimizing its involution and reducing local inflammation. Material and methods: a prospective randomized controlled trial. 135 pregnant women undergone planned caesarian section were examined. We applied different methods of uterine closure: in Group 1 (36 women) - one-row continuous blanket Reverdin's suture; in Group 2 (39 women) - one-row continuous Schmieden's suture; in Group 3 (28 women) - two-row continuous Schmieden's suture; and in Group 4 (32 women) - separate two-row sutures (2nd row - inverted U-shaped). Results. The most aggressive in the severity and duration of the local inflammatory reaction is Schmieden's technique. A two-row suture has the most pronounced delaying effect on the uterine involution. We found a one-row continuous blanket Reverdin's suture to be the optimal method of uterine closure. Conclusion: In comparison with Schmieden's sutures (one- or two-row) or with a two-row interrupted suture, using a one-row continuous blanket Reverdin's suture in uterine closure after planned caesarian section is characterized with quicker involution of the uterus and suture areas above it, with less expressed and shortened inflammation, and with fewer complications.https://www.actabiomedica.ru/jour/article/view/427cesarean sectionsuturesincision of the uterus |
| spellingShingle | V. A. Kramarskiy Y. V. Trusov Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure Acta Biomedica Scientifica cesarean section sutures incision of the uterus |
| title | Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_full | Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_fullStr | Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_full_unstemmed | Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_short | Features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| title_sort | features of involution and local inflammation of uterine tissues after planned caesarian section at various ways of uterine closure |
| topic | cesarean section sutures incision of the uterus |
| url | https://www.actabiomedica.ru/jour/article/view/427 |
| work_keys_str_mv | AT vakramarskiy featuresofinvolutionandlocalinflammationofuterinetissuesafterplannedcaesariansectionatvariouswaysofuterineclosure AT yvtrusov featuresofinvolutionandlocalinflammationofuterinetissuesafterplannedcaesariansectionatvariouswaysofuterineclosure |