To Suture or Not to Suture at Cesarean Section
Author Information
Author(s): Van R. Bohman, Larry C. Gilstrap III, Susan M. Ramin, Bertis B. Little, Rigoberto Santos-Ramos, Kenneth G. Goldaber, Jody Dax, Kenneth J. Leveno
Primary Institution: University of Texas Southwestern Medical School
Hypothesis
There is no difference in the frequency of wound disruption between women who had their subcutaneous tissues approximated with suture and those who did not during cesarean section.
Conclusion
Closure of Scarpa's and Camper's fascia with suture during cesarean section significantly decreased the frequency of wound disruption in this population.
Supporting Evidence
- A 32% decrease in the frequency of wound disruption was observed when subcutaneous tissues were brought into apposition with suture.
- Superficial wound disruption occurred in a total of 96 (7%) women, significantly decreased in those with suture approximation.
- Obesity and preexisting operative site infection were identified as significant risk factors for wound disruption.
Takeaway
Stitching up the layers of skin during a C-section helps prevent wounds from coming apart.
Methodology
Women delivered by cesarean section were alternately assigned to have their subcutaneous tissues closed with suture or not, and data were analyzed using various statistical tests.
Limitations
The study may not apply to patients with a pfannenstiel incision, as the rate of dehiscence is significantly lower with that incision.
Participant Demographics
The study included 1,409 women who underwent cesarean sections, with no significant differences in demographics between the suture and non-suture groups.
Statistical Information
P-Value
0.03
Statistical Significance
p<0.05
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