Ultrasound Evaluation of Uterine Scar in Primary Caesarean Section: A Study of Single versus Double Layer Uterine Closure

Caesarean section is one of the common surgical procedures to deliver baby done worldwide in obstetric practice. The aim of the study was to determine if technique of uterine closure had an effect on scar thickness measured by Ultrasonography at 6 week safter primary cesarean delivery. The Prospective study was done in department of Obstetrics and Gynecology, Manipal Teaching Hospital, Pokhara, Nepal. Fifty patients undergoing primary caesarean section were randomly assigned to one or double layer closure of lower uterine segment. Patients were followed up by ultrasonography at 6 weeks postpartum and uterine scar was measured. The mean scar thickness measured after 6 weeks by ultrasonography in single layer closure was 15.10 mm (Standard deviation 1.31) whereas it was 15.36 mm (Standard deviation 1.38) in double layer closure of uterus. There was no statistically significant difference in scar thickness after 6 weeks post partum period in single and double layer closure of lower