Subcuticular Skin Closure at Cesarean Delivery

Overview

Subcuticular skin closure with suture after cesarean has been shown to result in lower rates of wound complications than with staple closure. However, the optimal choice of suture material for subcuticular skin closure is unclear. Vicryl vs Prolen suture materials will be used for subcuticular closure of transverse skin incisions after cesarean section. Patients will be controlled for superficial surgical site infections 1 week after the cesarean section.

Full Title of Study: “Comparison of Suture Materials for Subcuticular Skin Closure at Cesarean Delivery”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Other
    • Masking: None (Open Label)
  • Study Primary Completion Date: October 15, 2018

Detailed Description

Cesarean section is the most common abdominal surgery worldwide. Subcuticular skin closure with suture after cesarean has been shown to result in lower rates of wound complications than with staple closure. However, the optimal choice of suture material for subcuticular skin closure is unclear. Vicryl vs Prolen suture materials will be used for subcuticular closure of transverse skin incisions after cesarean section. Patients will be controlled for superficial surgical site infections 1 week after the cesarean section.

Interventions

  • Procedure: Cesarean Section with Vicryl
    • Pfnannenstiel incision will be done under general or spinal anaesthesia. The abdomen will be opened and fetus and plasenta will be delivered. Then abdomen will be closed. Skin will be closed with Vicryl.
  • Procedure: Cesarean Section with Prolen
    • Pfnannenstiel incision will be done under general or spinal anaesthesia. The abdomen will be opened and fetus and plasenta will be delivered. Then abdomen will be closed. Skin will be closed with prolen.

Arms, Groups and Cohorts

  • Active Comparator: cesarean section with Vicryl
    • Women undergoing cesarean section with low transverse skin incisions will be closed with 3-0 Vicryl.
  • Active Comparator: cesarean section with prolene
    • Women undergoing cesarean section with low transverse skin incisions will be closed with 3-0 Prolen.

Clinical Trial Outcome Measures

Primary Measures

  • surgical site infection
    • Time Frame: 1 week
    • infection

Participating in This Clinical Trial

Inclusion Criteria

  • Age 18-40 – women undergoing cesarean section Exclusion Criteria:

  • body mass index>30

Gender Eligibility: Female

Minimum Age: 18 Years

Maximum Age: 40 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Kanuni Sultan Suleyman Training and Research Hospital
  • Provider of Information About this Clinical Study
    • Principal Investigator: Berna Aslan Cetin, Md, ObGYN – Kanuni Sultan Suleyman Training and Research Hospital
  • Overall Official(s)
    • Berna Aslan A Çetin, Principal Investigator, KSSTRH

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