|
Single versus double layer closure of the uterus |
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| Study |
n |
Infection |
Blood loss |
Health service use |
Other outcomes |
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|
|
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| Outcome |
Result |
Outcome |
Result |
Outcome |
Result |
Outcome |
Result |
||
|
|
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| Cochrane review15 |
1,006 |
Endometritis (n = 784) (RR) |
1.22 (0.91–1.63) |
Transfusion (n = 906) (RR) |
0.80 (0.34–1.92) |
Operating time (Mean) |
43.8 v 47.5 min |
Moderate or major deformity of |
0.19 (0.06–0.60) |
| Extra haemostatic sutures (n = 906) (RR) |
0.93 (0.79–1.08) |
scar on radiography (n = 100) (RR) |
|||||||
| >8% drop in haematocrit (n = 906) (RR) |
1.09 (0.86–1.38) |
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| Heidenreich17 |
125 |
Post-operative fever |
4.8% v. 7.2% |
Transfusion |
3.8% v. 3.2% |
Scar thickness by US (8–10 days after surgery) |
0.72 v. 0.82 cm |
||
| Sood18 |
208 |
Febrile morbidity (RR) |
0.50 (0.27–0.94) |
Intraoperative blood loss (Mean) |
600 v. 629.6 ml |
Operating time (Mean) Hospital stay (Mean) |
31.3 v. 33.1 min 6.67 v. 7.19 days |
Pain (VAS Score) (Mean) |
2.91 v. 3.05 |
| Endometritis (RR) |
0.44 (0.20–0.95) |
Additional suture (RR) |
1.36 (0.85–2.17) |
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| Wound infection (RR) |
0.46 (0.15–1.45) |
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The CORONIS Trial Collaborative Group BMC Pregnancy and Childbirth 2007 7:24 doi:10.1186/1471-2393-7-24 |
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