Muscle Injury, Obstetric Complication
Conditions
Keywords
elastography, rectus muscle re-approximation
Brief summary
Rectus re-approximation and periton closure are not the obligatory steps during cesarean section. These steps are due to surgeon's preference. However, there is lack of knowledge about the relation of rectus muscle re-approximation and adhesion formation. We are going to study the rectus muscle stiffness by share-wave elastosonography.
Interventions
Study group: we are going to re-approximate rectus muscle wirth minimum 3 stiches.
Sponsors
Study design
Masking description
Radiologist is blind.
Eligibility
Inclusion criteria
* Primary cesarean section
Exclusion criteria
* Wound infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rectus muscle stiffness | 3 months after cesarean section | Share wave elastosonography is going to perform to six different points of rectus muscle. Each points will be 2 cm right or left side of linea alba line in horizontal axis. Two points are on cesarean section incision, next two points 2 cm below the incision and other next two points 2 cm above the incision in vertical axis. Rectus muscle stiffness will show the adhesion formation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Operation time | During operation | Operation time in minutes is going to be recorded |
| Postoperative pain | 3 months after cesarean section | VAS scale is going to be used. |
| Postoperative bowel function | 3 months after cesarean section | It is going to be evaluated by self developed questionnaire. |
| Postoperative bladder function | 3 months after cesarean section | It is going to be evaluated by self developed questionnaire. |
Countries
Turkey (Türkiye)