Postoperative Pain
Conditions
Keywords
cesarean section, facial incision, postoperative pain
Brief summary
The purpose of this study is to compare sharp and blunt fascial entry during caesarean section.
Detailed description
The patients will be divided into two group, The fascia will be opened with a sharp scissors in first group (group1), on the other hand in group 2 fascia distracted from the muscle tissue with a blunt maneuver. The study is planning to perform on women having cesarean section for the first time in their life and who have not previously had lower abdominal surgery before. The following parameters are evaluated for each patients 1\. All patients are evaluated for postoperative pain with VAS score when they first mobilized and following postoperative1, 3 and 7 days; 1 and 3 months 2. Postoperative sensory loss on skin incision scar, lower abdomen, pelvic region, groin, inner thigh, and labia majus
Interventions
PROCEDUREsharp incision
The fascia will be opened with a sharp scissors in cesarean section
PROCEDUREblunt incision
Fascia distracted from the muscle tissue with a blunt maneuver in cesarean section
Sponsors
Sisli Hamidiye Etfal Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Woman having caesarean section for the first time * Woman, who have had no previous lower abdominal surgery * Woman who can give informed consent
Exclusion criteria
Diabetes Mellitus (This does not include gestational diabetes) * Infection * Regular treatment with immunosuppressives * Alcohol or drug abuse * Age under 18 years old * Chronic pain disease eg. fibromyalgia, rheumatoid arthritis * BMI over 35
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain scores change on the Visual Analog Scale (VAS) | 1, 3 and 7 days | the difference in pain scores between two groups 1, 3 and 7 days postoperatively. Pain is registered by a score on a vas-scale from 0-10.Changes on VAS scale reported. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative sensory loss change on skin incision scar, lower abdomen, pelvic region, groin, inner thigh, and labia majus | 7 days postoperatively | assessment of the sensory loss difference on skin incision scar, lower abdomen, pelvic region, groin, inner thigh, and labia majus postoperatively(day7). Sensory loss measured by asking their sensory feelings on scar area, lower abdomen, pelvic region, groin, inner thigh, and labia majus |
| postoperative pain scores change on the Visual Analog Scale (VAS) | 1and 3 months postoperatively | the difference in pain scores between two groups 1 and 3 months postoperatively. Pain is registered by a score on a vas-scale from 0-10. |
| postoperative sensory loss change on skin incision scar | 1and 3 months postoperatively | Assessment of the sensory loss difference on skin incision scar, lower abdomen, pelvic region, groin, inner thigh, and labia majus postoperatively at 1 and 3 months. Sensory loss measured by asking their sensory feelings on scar area, lower abdomen, pelvic region, groin, inner thigh, and labia majus |
Countries
Turkey (Türkiye)
Outcome results
None listed