Previous Incision, Scar; Previous Cesarean Section
Conditions
Brief summary
There is limited application of the use of PRP in obstetrics, therefore there is a need for assessment if it is efficacy in improving skin wound healing in cesarean section.
Detailed description
This study aims to assess the efficacy of injection of platelet rich plasma into the wound of recurrent cesarean section for improving wound healing and enhancing the shape of the wound in women undergoing cesarean section.
Interventions
Platelet rich plasma is prepared from fresh whole blood which is collected from a peripheral vein stored in acid citrare dextrose solution A (ACD-A)anticoagulant and processed to increase platelets by separating various components of blood
64 controlled women with recurrent cesarean section and fullfit to all inclusion and exclusion craiteria will reseve saline injection at time of wound closure
Sponsors
Study design
Eligibility
Inclusion criteria
* elective cesarean section * Body mass index 18:25 * Hemoglobin more than 10.5 g/d * Albumin within normal more than or equal 3.5 g/d
Exclusion criteria
* medical disorders(Diabetes mellitus,heart disease,hypertension,systemic lupus erythematosus) * high risk pregnancy as (placenta previa,placenta accreta) * patient on corticosteroids medication * primigravida subjected cesarean section * complicated cesarean section (increased operation time,blood transfusion, drain, scrubbing of multiple surgeons) * cesarean section due to chorioaminionitis * postoperative complication such as:postpartum hemorrhage, paralytic ileus, sever distention..) will be dropped out from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of PRP in Wound healing in cesarean section by 100 mm visual analog scale | one month | Efficacy of PRP in Wound healing in cesarean section by 100 mm visual analog scale (VAS) for wound healing |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of the Cosmetic results of the wound by Modified Vancouver scar scale | one month | Assessment of the Cosmetic results of the wound by Modified Vancouver scar scale |
Countries
Egypt