Skin Closure at Cesarean Delivery, Glue Vs Subcuticular Sutures: A Randomized Clinical Trial

Abstract

Cesarean delivery (CD) rates have risen in recent decades, and it is now the most common procedure performed on women during their reproductive years. Despite its widespread use, data on many aspects of the chosen surgical technique is limited. The closing of the skin is an essential part of the CD. It has an effect on postoperative pain, wound healing, cosmetic outcomes, surgeon and patient satisfaction, and surgeon and patient satisfaction. There is currently no conclusive evidence on which method is best for skin closure after CD. Other methods have been proposed as being superior to staples. Obstetricians are forced to make decisions based on personal preference due to the contradictory data available. Dermabond® glue (Ethicon Inc, Somerville, NJ) is a liquid monomer that forms a strong tissue bond with a protective barrier that adds strength and prevents bacteria from entering. Glue inhibits both gram-positive (methicillin-resistant Staphylococcus aureus and Staphylococcus epidermidis) and gram-negative (Escherichia coli) bacteria, according to an in vitro study. Glue also has the potential to save time in terms of application and repair. Within 12 months of the repair, it has been shown to produce cosmetically similar results to staples. Furthermore, glue has been shown to be well-tolerated by patients.