Cesarean Wound; Dehiscence
Conditions
Brief summary
EXCISION of cs section skin scar and subcutaneous release versus non removal in repeated cs .aRandomized controlled trial .
Detailed description
All eligible participants will randimized into two groups ; gruop 1 skin removal in which we will going to remove skin scar gruop 2 skin non removal ;direct open in the middle of the previous scar Follow up will be recorded for each participant aphoto will be taken postoperative to score the healing of the wound the follow up will be at one week ,then one month ,then three month acomparison between the two groups will be done .
Interventions
we will remove the previous scar in group A
we will open in the previous cesearean scar in group B
Sponsors
Study design
Intervention model description
there are two gruops in the study ;one with removal of the scar 2nd with non removal in repeated cs
Eligibility
Inclusion criteria
1. women with repeated ceserean section 2. pregnant women \>32 wk
Exclusion criteria
* DM bleeding tendency preeclampsia previous history of wound infection chronic steroid use women refused to participate in Randomized clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the healing score | through the study duration AVERAGE ONE YEAR. | we will follow up the scar postoperative to compare the healing score by observer scar assessment scale maximaum score 5and patient scar assessment scale.maximum score 10.means WORST scale . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the cosmotic appereance of the scar | through the study duration an average one year | we will follow up the scar healing postoperative by the observer scale assessment score and the patient scar assessment scale . |