Effect of Plicating Suture in Preventing Incision Diverticulum at Weak Area of Lower Uterine Scar
Objective:To explore the effect of plicating suture at the weak area of lower uterine scar on preventing uterine incision diverticulum in puerpera with scarred uterus due to multiple cesarean section.Method:A total of eighty puerpera who had scarred uterus caused by multiple cesarean section and were admitted to Dexing People's Hospital from January to December 2023 were selected,and they were divided into a control group and an observation group by random number table method,with 40 cases in each group.The control group was treated with traditional continuous simple double-layer suture,while the observation group was treated with plicating suture at the weak area of the lower uterine scar as enhanced treatment on the basis of the control group.Surgical conditions were observed,uterine incision healing and C reactive protein(CRP)levels were compared between the two groups.Result:Surgical time,duration of bloody lochia and hospital stay of the observation group were shorter than those of the control group,anal exhaust time was earlier than that of control group,postoperative bleeding volume was less than that in the control group,the differences were statistically significant(P<0.05).42 days after surgery,there was no statistically significant difference in the incidence rate of incision diverticulum in two groups(P>0.05).42 days after surgery,thickness of the lower uterine muscle layer in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).Three months after operation,15 cases of menorrhagia in the observation group and 15 cases in the control group,the difference was not statistically significant(P>0.05).Three months after surgery,the incidence rate of incision diverticulum in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);the thickness of the lower uterine muscle layer in the observation group was greater than that in the control group,the difference was statistically significant(P<0.05).3 days after operation,CRP level in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:For scarred uterus due to multiple cesarean section,plicating suture at the weak area of lower uterine scar can effectively prevent uterine incision diverticulum,shorten operation time,improve operation situation,promote postoperative recovery,and alleviate inflammatory reactions.
Scarred uterusMultiple cesarean sectionPlicating sutureUterine incision diverticulumC reactive protein
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