Cesarean Section
Conditions
Keywords
Cesarean section, operating time, bladder, urinary retention
Brief summary
Cesarean section is the most common surgical procedure performed on women. Over the years minor variations of each surgical step have been introduced, and cesarean sections are not standardized and many different techniques are employed during surgery. Creation of a bladder flap has been an integral surgical step of the cesarean section for many years. The role of the bladder flap and its usefulness in cesarean section is not known well. Further, in some cases the bladder flap is omitted during cesarean section. The aim of the current study is to compare operating time and postoperative urinary symptoms in cesarean sections using either bladder flap or omission of flap.
Detailed description
Cesarean section is the most common surgical procedure performed on women. The main aspects of the surgical approach to low-transverse cesarean delivery have not changed much since1926. Over the years minor variations of each surgical step have been introduced, and cesarean sections are not standardized and many different techniques are employed during surgery. Creation of a bladder flap has been an integral surgical step of the cesarean section for many years. The evidence on the role of the bladder flap and its usefulness in cesarean section is very limited. In emergent cesarean sections where rapid delivery is the main goal, the bladder flap is usually omitted. Literature about the usefulness of a bladder flap is limited and more randomized studies are needed. Most of the study outcomes were focusing operating time however, the investigator in the current study additional focused on postoperative urinary symptoms and dynamics. The aim of the current study is to compare operating time and postoperative urinary symptoms in cesarean sections using either bladder flap or omission of flap.
Interventions
PROCEDUREBladder flap
Performing uterine incision and cesarean section with a bladder flap.
Sponsors
Kanuni Sultan Suleyman Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* primiparous women \>37 weeks without high-risk pregnancy
Exclusion criteria
* presence of microbiologically confirmed urinary tract infection before delivery, twin pregnancies, cervical dilatation at admission ≥4 cm, estimated fetal weight\>4000 gr, history of previous abdominal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total operation time | 1 hour | Total operation time from skin incision to the end of operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Estimated blood loss | 1 hour | Estimated blood loss during surgery will be measured in terms of mL |
| Bladder injury | up to 48 hour | Bladder injury during cesarean section will be assessed by the number and percentage of patients who had injury |
| Urinary retention | up to 48 hour | Postoperative urinary retention will be measured by number and percentage of patients who develop this complication |
Countries
Turkey (Türkiye)
Outcome results
None listed