Efficacy of different types of sutures materials used in the wound closure of pfannenstiel skin incision by subcuticular technique in cesarean section

Abstract

Caesarean Section is one of the oldest and commonest major surgical procedures in obstetrics. Although the outcomes of surgical skin closure may be influenced by the indication for the procedure, the location of the surgical site, and associated intraoperative and postoperative complications, the goal of any skin closure technique is to produce appropriate skin approximation and adequate healing with minimal wound complications, scarring, pain, and cost. The present study was conducted to study the efficacy of different types of suture materials used in the wound closure of Pfannenstiel skin incision by subcuticular technique in caesarean section. Randomized prospective comparative hospital based study done in department of Obstetrics and Gynaecology of Dr DY Patil Medical College and Hospital, Pune, Maharashtra from July 2016 to Sep 2018. Total 150 women underwent lower segment caesarean section for various indications. The selected patients were divided into three groups by randomization. Randomization was done serially, in the order of first case in group A, second in Group B, third case in Group C. conducted a study comparing the suture materials and reported that absorbable and nonabsorbable sutures have similar short-term outcomes. In this study we found that there was no significant difference in terms of wound complication. It was also noted that there was better wound healing tendency with non absorbable material.