Document Type : Original Article
Authors
1
Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
2
Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University, El-Gharbiya, Egypt
Abstract
Background: Although several studies compared absorbable and nonabsorbable suture, only one of these studies has found
an increase in wound complications for nonabsorbable suture.
Objective: The objective is to compare the rate of wound complications among women who will undergo cesarean delivery
through a Pfannenstiel skin incision followed by subcuticular closure with either polyglactin 910 sutures (VICRYL RAPIDE®;
Ethicon), (DemeCRYL®; DemeTECH) or polypropylene (DemeLENE®; DemeTECH).
Materials and Methods: The prospective randomized controlled clinical trial conducted of 90 pregnant women scheduled
for elective caesarean section and subdivided into 3 groups; group A: (30) women with subcuticular suture, synthetic,
absorbable, coated, polyglactin 910, braided, undyed, 2-0, 75 cm, 26mm reverse cutting needle (VICRYL RAPIDE®;
Ethicon), group B: (30) women with subcuticular suture, synthetic, absorbable, coated, polyglactin 910, braided, violet,
2-0, 75 cm, 36mm reverse cutting needle (DemeCRYL®; DemeTECH) and group C: (30) women with subcuticular
suture, synthetic, non-absorbable, uncoated, polypropylene, monofilament, blue, 2-0, 100 cm, 40mm curved cutting
needle (DemeLENE®; DemeTECH).
Results: This study found no statistically significant difference between study groups as regard wound complication
including infection, hematoma, discharge and seroma. Also, the present study showed that there was no statistically
significant difference between study groups as regard pain degree and scar complication included scar dehiscence,
hypertrophic, hyper-pigmented, depressed and itching. Finally, the current study showed no statistically significant
differences between 3 groups regarding to hospital stay and occurrence of allergy.
Conclusion: This study concluded that surgical site infections and other wound complications in skin closures with vicryl
were similar to those identified with demecryl and polypropylene.
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