Purse String Double Layer Closure in Cesarean Section (Turan Technique) A Novel Approach to Reduce Cesarean Scar Defect

Abstract Objective: To compare cesarean scar defect incidence and other parameters between Turan technique and Conventional technique. Methods: Literature Review Results: The Turan technique uses a purse-string doublelayer closure method, which can shorten the incision length and reduce the incidence of postpartum cesarean scar defect that can be detected by ultrasound. Uterine incisional defects are etiologic factors of postoperative pelvic adhesion, placenta previa and accreta, uterine rupture, abnormal uterine bleeding and dysmenorrhea. This means that a decrease in the incidence of uterine incisional defects is essential to prevent cesarean-related complications. In 51 patients in the study group (closure the uterine incision with Turan technique) and 65 patients in the control group collected within six weeks postoperative for transvaginal ultrasound, the length of the uterine incision closure in the study group shorter than the control group (p= 0.0001, 95% IK = 2,854-6,876). Signifi cantly, the number of patients with cesarean scar defect was 12 (23.5%) in the study group and 39 in the control group (76.5%) with P = 0.0001. Conclusions: Turan technique is new uterine closure method technique on CS. This technique can reduce the incidence of cesarean scar defect. Keywords: cesarean section, turan technique, uterine incision.