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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Comparison of two different techniques of uterine closure in caesarean section: Continuous single layer technique versus Babu and Magon technique
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Comparison of two different techniques of uterine closure in caesarean section: Continuous single layer technique versus Babu and Magon technique

机译：剖宫产术中两种不同的子宫闭合技术的比较：连续单层技术与Babu和Magon技术

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Background: To compare size of the caesarean scar and residual myometrial thickness (RMT) between continuous single non-interlocking and Babu and Magon technique for uterine closure following primary elective caesarean section (CS). Methods: An observational prospective cohort study was conducted at 6 weeks and 4 months postpartum following primary elective CS. Group A included 25 patients who underwent continuous single layer technique and Group B included 25 patients who underwent Babu and Magon technique for uterine closure. Baseline demographic profile, obstetric score, details of the CS and associated complications were studied. Two-dimensional Transvaginal ultrasonography (TVS) measurements of the length, width and depth of the caesarean scar and RMT were compared. Results: Mean age of study population was 29.6 years. Malpresentation (44%) was the most common indication for CS. Mean Bishops score at the time of CS was 4. The duration of surgery (-2.8 min, 37.96 ±5.660min) and estimated amount of blood loss (-51.6 ml, mean 671.20 ±136.208ml) was less in Group A compared to Group B (40.76 ±4.68min, 722.80±132.083ml respectively). The caesarean scar measurements were similar in both groups at both visits. The mean RMT in Group B at 6 weeks and 4 months postpartum (8.05mm±2.06 and 7.10mm±2.04 respectively) was statistically higher than Group A (6.23mm ± 1.76 and 5.36mm ± 1.70 respectively), p=0.002. Conclusions: We conclude that Babu and Magon technique for uterine closure in caesarean section could result in better healing of the scar and probably reduce the adverse outcomes in subsequent pregnancies.
机译：背景：为了比较连续单次非互锁和采用Babu and Magon技术行剖宫产术（CS）后的子宫闭合术，剖宫产疤痕的大小和剩余子宫肌层厚度（RMT）。方法：一项观察性前瞻性队列研究在原发性选择性CS产后6周和4个月进行。 A组包括25例行连续单层技术的患者，B组包括25例行Babu和Magon术的子宫闭合患者。研究了基线人口统计资料，产科评分，CS详情和相关并发症。比较了剖宫产疤痕和RMT的长度，宽度和深度的二维经阴道超声检查（TVS）。结果：研究人群的平均年龄为29.6岁。错误陈述（44％）是CS的最常见指征。 CS时的Bishops平均得分<4。与B组（40.76±4.68min，722.80±132.083ml）相比，A组的手术时间（-2.8分钟，37.96±5.660min）和估计失血量（-51.6 ml，平均671.20±136.208ml）少分别）。两组的剖腹产疤痕测量在两次访视时相似。 B组产后6周和4个月的平均RMT（分别为8.05mm±2.06和7.10mm±2.04）在统计学上高于A组（分别为6.23mm±1.76和5.36mm±1.70），p = 0.002。结论：我们得出结论，Babu和Magon技术用于剖宫产术中的子宫闭合术可以改善疤痕的愈合，并可能减少后续妊娠的不良后果。

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