3D Ultrasound Evaluation of the Uterine Scar Thickness after Single Versus Double Layer Closure of Transverse Lower Segment Cesarean SectionA Randomized Clinical Tria

Abstract

Background: several studies using various methods have been conductedto evaluate the uterine scar thickness and asses risk of uterine rupture. Objective: to evaluate the uterine scar thickness by 3D Ultrasonographyin primigravid randomly assigned to one or two layer closure of the uterine incision after primary cesarean delivery. Patients and methods: our study was conducted on 56 patients admitted for elective primary CS. 28 patients underwent CS using double-layer closure of the uterus and 28 patients using single-layer closure of the uterus. 3D ultrasound were done later on to evaluate the residual myometrial thickness. Results and conclusion: Data from the present study demonstrated that the myometrial thickness is significantly higher in double-layer closure of uterus than single-layer closure as obtained by 3D ultrasound(p-value < 0.01)

Key Words: Uterine scar thickness,CS,3D ultrasound.