Dr Zainab Asghar, Dr Khalid Shahzad, Dr Anam Naz
Objective: The aim of this study is to compare the unlocked and locked closure of uterine methods regarding control of bleeding and incision healing of uterine. Methodology: This study was conducted in children hospital Faisalabad, and the duration of this study was from April 2019 to December 2019 were recruited for this research work. We measured the count of hemoglobin and levels of serum creatinine of patients in both unlocked (35) and unlocked (47) just before and after 24 hours of surgical intervention. We compared deficit of hemoglobin, enhancement in Creatine Kinase and hemostatic sutures. We also assessed the scar healing of uterine after complete three months. We also compared and calculated the thickness of scar, percentage of scar thinning and niche of both locked (27) and unlocked (32) techniques. Results: There was deficit of hemoglobin in patients of both groups. There was less Creatine Kinase rise in the patients of UG (Unlocked group) but it was not much significant (P value = 0.082). There was need of additional sutures in Unlocked group (P value = 0.016). Niche thickness and percentage of scar thinning site was much low in the patients of Unlocked group (P value = 0.002, P value = 0.000). Conclusions: The unlocked method of uterine closure is very secure and it has very less impairment to myometrium. KEY WORDS: Locked, Unlocked, Thickness, Niche, Incision, Surgical Intervention, Scar, Bleeding, Uterine, Hemoglobin.