The Efficacy of Barbed Sutures on Uterine Closure at Cesarean Section versus Conventional Sutures (Randomized Controlled Trial)

Abstract

Cesarean section is the most commonly performed surgical procedure in obstetric practice (Natl et al., 2012). Cesarean section is associated with the risk of short term and long-term complications. Short-term complications include injury of bladder, ureter, intestine and deep venous thrombosis. Long-term complications include chronic pelvic pain, infertility, intestinal obstruction, rupture uterus and abnormal placentation in subsequent pregnancies (CORONIS et al., 2013). Previous studies revealed an association between the technique of uterine incision closure and the poor healing of the cesarean section scar and the occurrence of rupture uterus and abnormal placentation in subsequent pregnancies (Gyamfi et al., 2006). Cesarean section uterine incision can be closed using the single or double-layer technique with interrupted or continuous (locked or unlocked) sutures, there is no consensus on the best technique for uterine incision closure at cesarean section. Several studies reported that the single layer closure and locked continuous suturing of the uterine incision are associated with a higher risk of uterine rupture in subsequent pregnancies compared with double layer closure (Ceci et al., 2012).