IJSR - International Journal of Scientific Research

Dr. Anil Mehta; Dr. Raj Rishi; Dr. Sonika Gupta; Dr. Bimla Sharma

Volume : VIII, Issue : I, January - 2019

Closure of Pfannensteil incision in caesarean section: Comparison of wound outcomes with interrupted mattress vs. subcuticular suture

Dr. Anil Mehta, Dr. Raj Rishi, Dr. Sonika Gupta, Dr. Bimla Sharma

Abstract :

Introduction: A large number of women undergo caesarean section throughout the world. These women translate into a substantial portion of population and hence there is a load on the financial resources of healthcare system. Use of appropriate techniques to approximate the wound after caesarean section would not only avoid financial load but also help in early recovery of the patient. Aim: The aim of this study was to compare wound outcomes in pfannensteil incision in interrupted mattress sutures and subcuticular sutures with absorbable material in a prospective study of caesarean deliveries. Methods: It was studied in 100 women who had caesarean sections with pfannensteil incision prospectively for wound outcomes in terms of wound complications (hematoma formation, infection, non–union, dehiscence and need for resuturing), pain and cosmetic appearance in two groups, one with absorbable subcuticular suture and another with interrupted mattress suture.

Results: Women who had subcuticular stiches had less postoperative pain, better wound outcomes, faster recovery, early discharge from hospital and cosmetically superior scars as compared with interrupted mattress sutures.

Conclusions: While search for the latest method and material for skin closure will continue, the subcuticular stitches with absorbable material has lesser wound complications with cosmetically better scar.