Subcuticular interrupted versus continuous skin suturing in elective cesarean section in obese women: a randomized controlled trial

• Published in: The journal of maternal-fetal & neonatal medicine 2019-12, Vol.32 (24), p.4114-4119
• Main Authors: Maged, Ahmed M., Mohesen, Mohamed N., Elhalwagy, Ahmed, Abdelaal, Hoda, Almohamady, Maged, Abdellatif, Ali A., Alsawaf, Ahmed, Malek, Khaled Abdel, Nabil, Hala, Fahmy, Radwa M., Wageih, Heba
• Format: Article
• Language: English
• Subjects: Adult; Cesarean Section - methods; continuous subcuticular sutures; elective cesarean section; Female; Humans; Intraoperative Complications - etiology; obese; Obesity - complications; Pregnancy; Prospective Studies; skin closure; Subcuticular interrupted sutures; Suture Techniques - statistics & numerical data
• ISSN: 1476-7058; 1476-4954
• DOI: 10.1080/14767058.2018.1481950

Objective: To compare the interrupted subcuticular skin closure with continuous one in obese women undergoing cesarean delivery. Materials and methods: A randomized controlled study conducted on 169 obese women with term uncomplicated singleton pregnancy who underwent elective cesarean delivery. They were randomized to either skin closure through continuous subcuticular sutures using vicryl 3/0 or interrupted subcuticular suturing using vicryl 3/0. The primary outcome parameter was occurrence of wound infection. Secondary outcomes included other skin complications, postoperative pain, operative duration and hospital stay Results: There was a statistically higher number of cases with wound hematoma (20 vs. 10, p = .04), infection (30 vs. 15, p = .008) and those who needed reclosure of wound (8 vs. 0, p = .004) in the continuous when compared to women in the interrupted subcuticular group, respectively. Healing with secondary intension was significantly higher in women in the continuous subcuticular group (52 vs. 26, respectively, p