Abstract

Introduction: Cesarean section is one of the most commonly performed surgical procedures, both in our country and globally. Over time, the technique for cesarean section has evolved significantly, undergoing numerous changes and refinements since its inception. Among these changes, uterine repair remains one of the most debated and controversial aspects.The objective of this study was to compare the efficacy of locked and unlocked uterine closure techniques in terms of bleeding control and uterine incision healing among patients undergoing cesarean section. Methods: This prospective controlled study included patients undergoing cesarean section. Safety was the primary focus of evaluation. Hemoglobin count (HC) and serum creatine kinase (CK) levels were measured before and 24 hours after the operation in the locked group (n = 56) and the unlocked group (n = 56). Hemoglobin deficit, CK elevation, and the need for additional hemostatic sutures were compared between the two groups. Additionally, uterine scar healing was assessed three months post-operation. Scar thickness, presence of niche, and the percentage of thinning of the scar region were calculated and compared between the two groups.

Description