Comparative Analysis of Subcuticular Suture Materials in Cesarean Section

2.1. Surgical Techniques in Cesarean Section Cesarean section involves multiple surgical steps, including skin incision, uterine incision, and closure of the incisions. The subcuticular suturing technique is often preferred for skin closure due to its potential for better cosmetic results and lower infection rates compared to other methods like staples or interrupted sutures.

2.2. Types of Suture Materials

Suture materials can be broadly categorized into absorbable and non-absorbable, and further into monofilament and multifilament types. Common suture materials used in subcuticular skin closure include:

Absorbable Sutures: Poliglecaprone (Monocryl), Polyglactin (Vicryl), Polydioxanone (PDS).

Non-Absorbable Sutures: Nylon, Polypropylene (Prolene), Silk. 2.3. Previous Studies on Suture Materials in Cesarean Section Previous studies have explored the impact of different suture materials on wound healing, infection rates, and cosmetic outcomes. Research indicates varying results, with some studies favoring absorbable sutures for their reduced need for removal and lower infection rates, while others suggest non-absorbable sutures may provide stronger wound support. However, comprehensive comparative analyses specific to cesarean sections remain limited.

• Methodology 3.1. Study Design This study will use a prospective, randomized controlled trial design. Participants undergoing elective cesarean sections will be randomly assigned to receive subcuticular suturing with one of several suture materials.

Inclusion criteria

• Women aged 20-45 years old.
• BMI = or more than 40 kg/m2
• Primigravida or not more than the previous 1 cesarean section.
• Will undergo a lower-segment cesarean section.
• Hb: ≥ 10 gm/dl.
• Viable fetus.
• No history of medical comorbidities.

Exclusion criteria

• History of urogenital tract infection within 2 weeks before cesarean delivery.
• Presence of clinical signs of infection at the time of delivery including PPROM and intraamniotic infection.
• Medical comorbidities (hypertension, diabetes, etc.).
• Hypersensitivity to any of the suture materials.
• Women with abnormal placentation (placental abruption or placenta previa).
• History of systemic corticosteroid intake during their pregnancy for 2 weeks or more.
• History of previous surgical site infection.
• Immune-compromised women.
• Women refused to participate in the study or could not obtain consent.