C-Section Skin Closure: Glue or Subcuticular Sutures?
This study by Daykan et al. (AJOG, 2017) analyzed the best choice of skin closure for a C-section.
Randomized Controlled Trial (RCT)
Women undergoing scheduled C-sections either had skin closure with glue or a monofilament synthetic suture. Subcutaneous tissues were sutured for all patients. The primary outcome measures were patient and observer (blinded to closure method) scores, using the Scar Assessment Scale. Surgeon satisfaction, procedure time, duration of hospitalization following surgery, and complications including surgical site infection or wound disruption (hematoma or seroma) were also examined as secondary outcomes. Surgeons did prefer monofilament. However, overall, there were no statistically significant differences between glue and monofilament suture with respect to safety and effectiveness. The authors conclude that surgeons should use their judgement and preference in making the choice of how best to close skin in a C-section procedure.
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