[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100563766":3},{"organization":4,"armGroups":7,"interventions":30,"overallOfficials":49,"centralContacts":53,"locations":59,"responsibleParty":80,"collaborators":36,"id":82,"slug":83,"hasResults":84,"nctId":85,"briefTitle":86,"officialTitle":87,"acronym":88,"eligibilityCriteria":89,"healthyVolunteers":90,"sex":91,"minAge":92,"maxAge":36,"enrollmentInfo":93,"targetDuration":36,"studyType":96,"phases":97,"briefSummary":99,"conditions":100,"keywords":102,"overallStatus":62,"whyStopped":36,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":111,"completionDateStruct":113,"leadSponsor":115,"locationsCount":116},{"fullName":5,"class":6},"Fundacion Clinica Valle del Lili","OTHER",[8,15,21,26],{"label":9,"type":10,"description":11,"interventionNames":12},"Low Segment Hysterotomy + Crossed hysterorrhaphy","ACTIVE_COMPARATOR","The participant will undergo a cesarean section in which the surgical technique of Low Segment Hysterotomy and Crossed hysterorrhaphy for uterine closure will be employed. The initial incision and skin closure will be performed at the discretion of the gynecologist.",[13,14],"Procedure: Low segment hysterotomy","Procedure: Crossed hysterorrhaphy",{"label":16,"type":17,"description":18,"interventionNames":19},"High Segment Hysterotomy + Crossed hysterorrhaphy","EXPERIMENTAL","The participant will undergo a cesarean section in which the surgical technique of High Segment Hysterotomy and Crossed hysterorrhaphy for uterine closure will be employed. The initial incision and skin closure will be performed at the discretion of the gynecologist.",[20,14],"Procedure: High segment hysterotomy",{"label":22,"type":17,"description":23,"interventionNames":24},"Low Segment Hysterotomy + Non-Crossed hysterorrhaphy","The participant will undergo a cesarean section in which the surgical technique of Low Segment Hysterotomy and Non-Crossed hysterorrhaphy for uterine closure will be employed. The initial incision and skin closure will be performed at the discretion of the gynecologist.",[13,25],"Procedure: Non-Crossed hysterorrhaphy",{"label":27,"type":17,"description":28,"interventionNames":29},"High Segment Hysterotomy + Non-Crossed hysterorrhaphy","The participant will undergo a cesarean section in which the surgical technique of High Segment Hysterotomy and Non-Crossed hysterorrhaphy for uterine closure will be employed. The initial incision and skin closure will be performed at the discretion of the gynecologist.",[20,25],[31,37,41,45],{"type":32,"name":33,"description":34,"armGroupLabels":35,"otherNames":36},"PROCEDURE","Low segment hysterotomy","A low segment hysterotomy is a surgical procedure in which an incision is made in the lower segment of the uterus, typically during a cesarean section or other uterine surgeries. This approach is preferred because the lower uterine segment is thinner and less vascular, reducing the risk of bleeding and complications during and after the procedure. The incision is typically horizontal.",[9,22],null,{"type":32,"name":38,"description":39,"armGroupLabels":40,"otherNames":36},"High segment hysterotomy","A high segment hysterotomy is a surgical procedure involving an incision in the upper segment of the uterus.",[16,27],{"type":32,"name":42,"description":43,"armGroupLabels":44,"otherNames":36},"Crossed hysterorrhaphy","Crossed hysterorrhaphy is a surgical technique used to close the uterine incision following a hysterotomy, particularly during cesarean sections. In this method, the sutures are placed in a crossed or X-shaped pattern, which helps to evenly distribute tension across the incision site.",[16,9],{"type":32,"name":46,"description":47,"armGroupLabels":48,"otherNames":36},"Non-Crossed hysterorrhaphy","Non-crossed hysterorrhaphy is a surgical technique used to close a uterine incision, typically after a hysterotomy, such as during a cesarean section. In this method, the sutures are placed in a linear, parallel fashion rather than in a crossed or X-shaped pattern",[27,22],[50],{"name":51,"affiliation":5,"role":52},"Albaro J. Nieto, M.D.","PRINCIPAL_INVESTIGATOR",[54],{"name":51,"role":55,"phone":56,"phoneExt":57,"email":58},"CONTACT","3319090","4022","albaro.nieto@fvl.org.co",[60],{"facility":61,"status":62,"city":63,"state":64,"zip":65,"country":66,"countryCode":67,"cosmosGeoPoint":68,"geoPoint":73,"contacts":74},"Fundación Valle del Lili","RECRUITING","Cali","Valle del Cauca Department","760032","Colombia","CO",{"type":69,"coordinates":70},"Point",[71,72],-76.5199,3.43054,{"lat":72,"lon":71},[75,77],{"name":76,"role":55,"phone":56,"phoneExt":57,"email":58},"Albaro J. Nieto, M.D. PhD",{"name":78,"role":79,"phone":36,"phoneExt":36,"email":36},"José M. Palacios, PhD","SUB_INVESTIGATOR",{"type":81,"investigatorFullName":36,"investigatorTitle":36,"investigatorAffiliation":36,"oldNameTitle":36,"oldOrganization":36},"SPONSOR","100563766","high-vs-low-segmental-hysterotomy-impact-on-uterine-wall-defects-post-cesarean-100563766",false,"NCT06620432","High vs. Low Segmental Hysterotomy: Impact on Uterine Wall Defects Post-Cesarean","High Segmental Hysterotomy vs. Low Segmental Hysterotomy: Association With the Incidence of Uterine Wall Defects After Cesarean Section","HISEAL","Inclusion Criteria:\n\n* Pregnant women aged ≥ 18 years.\n* Confirmed pregnancy through clinical history or ultrasound between 36 and 42 weeks of gestation.\n* Indication by the attending gynecologist for a first cesarean section, either emergent or elective.\n\nExclusion Criteria:\n\n* History of myometrial intervention, such as myomectomy.\n* History of genetic or acquired conditions that alter the anatomy of the uterus.\n* History of coagulation disorders.\n* History of connective tissue disorders, such as Lupus and Scleroderma, which may affect healing.\n* Hemodynamically unstable patients due to a clinical condition prior to performing the cesarean section.\n* Failure to sign the informed consent.",true,"FEMALE","18 Years",{"count":94,"type":95},168,"ESTIMATED","INTERVENTIONAL",[98],"NA","The purpose of this clinical trial is to compare the incidence of defects in the uterine wall at the site of the scar (niche) and surgical complications when using high-segment versus low-segment hysterotomy, with both cross-suturing and non-cross-suturing techniques, in pregnant patients undergoing their first cesarean section.\n\nResearchers will compare four arms:\n\n* Low Segment Hysterotomy + Crossed hysterorrhaphy\n* High Segment Hysterotomy + Crossed hysterorrhaphy\n* Low Segment Hysterotomy + Non-Crossed hysterorrhaphy\n* High Segment Hysterotomy + Non-Crossed hysterorrhaphy\n\nParticipants will:\n\n* Cesarean delivery\n* Attend a follow up appointment between 6 to 16 weeks post surgery where will be perform a transvaginal sonography.",[101],"Placenta Accreta Spectrum",[103,104,105,106],"High segmental hysterotomy","Low segmental hysterotomy","Caesarean section","hysterotomy defects","2026-05-05",{"date":109,"type":110},"2026-05-07","ACTUAL",{"date":112,"type":110},"2025-06-12",{"date":114,"type":95},"2027-08-31",{"name":5,"class":6},1]