Clinical trials: Scar Niche
Scar Niche
Two Dimensional Versus Three Dimensional Transvaginal U/S With or Without SIS
Primary aim: To assess the diagnostic agreement between 2D vs 3D TV U/S with or without SIS for the evaluation of cesarean scar defects and its correlation with symptoms.
- Trial name
- NCT07704788
- Volunteers
- 100 people
- Sponsor
- Sohag University
Infertility, Abnormal Uterine Bleeding (AUB)
Evaluation of the Uterine Cavity After Operative Hysteroscopy
This study will focus on evaluation of the uterine cavity after operative hysteroscopy using three dimensional transvaginal ultrasonography and office hysteroscopy to detect and residual or recurrent abnormalities or intrauterine…
- Conditions
- Infertility, Abnormal Uterine Bleeding (AUB), Intrauterine Adhesion, Submucous Leiomyoma of Uterus
- Trial name
- NCT06924437
- Where
- Egypt
- Volunteers
- 50 people
- Sponsor
- Sohag University
Cesarean Section Complications, Scar Niche
A Two-Layered Simple Interrupted Myometrial Suturing Reduces Uterine Niche Formation After Primary Cesarean Section
The purpose of the study is to determine whether two-layered simple interrupted myometrial suturing is superior to double-layered continuous suturing for the prevention of uterine niche formation after primary cesarean section.
- Conditions
- Cesarean Section Complications, Scar Niche, Myometrial Remodeling, Suture Techniques
- Trial name
- NCT07229222
- Testing
- Primary Cesarean Section with two-layered simple interrupted suturing of the myometrium, Primary Cesarean Section with double-layered continuous suturing of the myometrium, Saline-infusion Sonohysterography
- Where
- Egypt
- Volunteers
- 380 people
- Sponsor
- Benha University
Scar Niche, Myometrial Remodeling
Postplacental Copper Intrauterine Device Versus Postpartum Progesterone-only Pills on Uterine Niche Formation
The purpose of the study is to determine whether immediate postplacental copper T380A intrauterine device insertion increases uterine-niche incidence compared with postpartum progestin-only pills after primary cesarean section .
- Conditions
- Scar Niche, Myometrial Remodeling, Contraceptive Device; Complications, Cesarean Section Complications
- Trial name
- T380A (NCT07264933)
- Testing
- Primary Cesarean Section, immediate postplacental insertion of a copper T380A intrauterine device, progesterone-only pills
- Where
- Egypt
- Volunteers
- 750 people
- Sponsor
- Benha University
Cesarean Section Complications, Scar Niche
Uterine Scar Resection During Repeat Cesarean Delivery to Prevent Uterine Niche Formation
The purpose of the study is to evaluate whether resection of the previous cesarean scar at repeat cesarean delivery reduces uterine niche formation and related morbidity without increasing operative risks.
- Conditions
- Cesarean Section Complications, Scar Niche, Scarred Uterus
- Trial name
- NCT07228858
- Testing
- Repeated cesarean section with previous uterine cesarean section scar resection, Repeated cesarean section without uterine scar resection, Saline-infusion Sonohysterography
- Where
- Egypt
- Volunteers
- 170 people
- Sponsor
- Benha University
Scar Niche, Abnormal Uterine Bleeding
Sublingual Misoprostol Versus No Cervical Priming Before Hysteroscopic Resection of Symptomatic Uterine Niches
The purpose of the study is to evaluated whether preoperative sublingual misoprostol can enhance the effectiveness and safety of niche resection in patients with symptomatic uterine niche.
- Conditions
- Scar Niche, Abnormal Uterine Bleeding, Cesarean Section Complications
- Trial name
- NCT07271056
- Testing
- Misoprostol 200mcg Tab, Hysteroscopic resection of uterine niche, Saline-infusion Sonohysterography
- Where
- Egypt
- Volunteers
- 56 people
- Sponsor
- Benha University
Scar Niche, Infertility, Post Menstrual Spotting
The Relationship Between the Number of Ceserean Sections and Scar Niche Development
Aim of the work This study aims to investigate the relationship between the number of previous cesarean sections (CS) and the incidence of a cesarean scar niche.
- Trial name
- NCT07114705
- Testing
- Transvaginal ultrasound
- Volunteers
- 82 people
- Sponsor
- Sohag University
Isthmocele, Cesarean Scar Defect
Clinical Impact of Uterine Repair During Cesarean Section with Barbed Suture on the Incidence of Isthmocele
Pregnant women, irrespective of their pregnancy risk, who undergo a cesarean section for any reason will be randomized to one of two suturing techniques: conventional suture or barbed suture for uterine repair after the cesarean…
- Conditions
- Isthmocele, Cesarean Scar Defect, Pelvic Pain, Spotting
- Trial name
- CESARIS (NCT06691750)
- Testing
- Barbed suture, Conventional smooth suture
- Where
- Spain
- Volunteers
- 364 people, healthy volunteers welcome
- Sponsor
- Hospital Clinic of Barcelona
Caesarean Scar Niche
Niche Investigated: Closure of Hysterotomy & Evaluation of 3 Suturing Techniques (Running, Interrupted, and Locked)
This study aims to explore the impact of three different suturing techniques (Running, Interrupted \& Locked) that used to close the uterine incision at the cesarean section on the formation of a cesarean scar niche
- Trial name
- NCT06695793
- Testing
- Interrupted Sutures, Locked Sutures, Running Continuous Sutures
- Where
- 5 sites in Egypt
- Volunteers
- 225 people, healthy volunteers welcome
- Sponsor
- Cairo University
CS Scar Defect(Niche) How to Avoid
Incidence of Caesarean Scar Defect in Cases of Cesarean Section With and Without Bladder Flap Dissection
Anatomically Uterine niche is an iatrogenic pouch-like defect at the site of previous caesarean scar due to defective tissue healing.
- Trial name
- NCT06503627
- Testing
- bladder flap dissection
- Where
- Egypt
- Volunteers
- 250 people, healthy volunteers welcome
- Sponsor
- Alexandria University
Cesarean Scar Niche
Immunohistopathologic Findings of Cesarean Scar Niche
Niche is iatrogenic pouch like defect, present on the uterine isthmus' anterior wall where a previous caesarean section scar was made.
- Trial name
- NCT06466343
- Testing
- hysteroscopic resection of lower edge of cesarean scar niche
- Where
- Egypt
- Volunteers
- 50 people
- Sponsor
- Sohag University
Cesarean Scar Niche
Laparoscopic Versus Combined Laparoscopic and Hysteroscopic Repair of CS Niche
Uterine niche is a frequent condition in patients with a history of cesarean section. Many treatment methods have been described for repair of niche with varying effectivities.
- Trial name
- NCT05777837
- Testing
- laparoscopic repair of cesarean scar niche, Combined hysteroscopic and laparoscopic repair of cesarean scar niche
- Where
- Egypt
- Volunteers
- 30 people
- Sponsor
- Zagazig University
Isthmocele, Uterine Scar Defects
Cesarean Scar Defects After Uterine Closure by Double-layer Barbed or Smooth Suture
Late sequelae of a cesarean section related to a uterine scar defects include gynecological symptoms and obstetric complications.
- Conditions
- Isthmocele, Uterine Scar Defects, Cesarean Section Complications, Uterine Niche
- Trial name
- NCT04825821
- Testing
- Clinical and ultrasonographic assessment
- Where
- Italy
- Volunteers
- 247 people, healthy volunteers welcome
- Sponsor
- Ospedale Policlinico San Martino
Cesarean Scar Niche, Cesarean Wound; Dehiscence
Cesarean Scar Characteristics After Scheduled and Emergency Cesarean Deliveries
This study was designed to evaluate the scar characteristics following scheduled and emergency cesarean deliveries.
- Conditions
- Cesarean Scar Niche, Cesarean Wound; Dehiscence, Cesarean Section; Dehiscence
- Trial name
- NCT03609281
- Testing
- Ultrasound assessement of uterine scar
- Where
- Egypt
- Volunteers
- 900 people, healthy volunteers welcome
- Sponsor
- Tanta University
Cesarean Scar Niche
NIche Development With Closure of Cesarean Uterotomy by Modified or Conventional Two-layer Technique
The aim of this trial was to compare two different uterotomy surgical techniques on the occurrence of a uterine niche and the risk of a number of short- and long-term gynecological complications associated with the presence and…
- Trial name
- NICUM (NCT02410395)
- Testing
- Conventional, Modified
- Where
- Denmark
- Volunteers
- 230 people
- Sponsor
- University of Aarhus
Cesarean Section; Dehiscence, Cesarean Scar Niche
Effect of Alpha Lipoic Acid on Uterine Scar Healing After Cesarean Section
The aim of this study is to evaluate the efficacy of alpha lipoic acid on uterine scar healing after cesarean section by using saline contrast sonohysterography
- Trial name
- NCT03257514
- Testing
- alpha lipoic acid drug (thioctic acid acid)
- Where
- Egypt
- Volunteers
- 102 people
- Sponsor
- Ain Shams University