Absorbable Suture Versus Nonabsorbable Suture Intradermal for the Skin Transverse Section in Cesarean

Study Overview
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Brief Summary
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Context: Cesarean section is the most common surgery in women, both in developed and underdeveloped countries. However results are conflicting report in which material for intradermal suturing get better aesthetic result. Objective: To compare the aesthetic appearance of two suture materials, polyglecaprone 25 and polyamide (nylon) with intradermal sutures for skin closure in women undergoing cesarean section first. Methods: This is a clinical, prospective and randomized study which was conducted in the Department of Gynecology and Obstetrics of a tertiary Institute, Hospital das Clinicas Samuel Libânio, in PousoAlegre, Estate of Minas Gerais. Sixty women undergoing cesarean section were first included and randomized into two groups: group I (n = 30) polyamide and group II (n = 30) polyglecaprone 25. Hypertrophy, color and width of the wound were evaluated, receiving a score, according to Trimbos table, six months after surgery. Later the results were compared to non-parametric statistical tests

Conditions
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Cesarean Section, Sutures

Intervention / Treatment
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* Other: Continuous suture with polyglecaprone 25
* Other: Continuous suture with polyamide (nylon)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who underwent cesarean section No restriction of ethnicity, education or social class Exclusion Criteria: Scarring Pfannenstiel prior Diabetic patients using drugs; Patients with collagen diseases Patients with pre operative tests to indicate any systemic sign of infection or site, not previously treated until the time of surgery. Patients who withdrew informed consent Patients who did not attend the pre scheduled dates for the controls after surgery .

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: suture with polyglecaprone 25<br> | Other: Continuous suture with polyglecaprone 25<br>* At the end of surgical procedemento of cesarean delivery , for skin closure continuous suture was performed with polyglecaprone 25<br>|
| Active Comparator: suture with polyamide (nylon)<br> | Other: Continuous suture with polyamide (nylon)<br>* At the end of surgical procedemento of cesarean delivery , for skin closure continuous suture was performed with polyamide (nylon)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Photographic documentation for evaluation | The photographic record was sent to three experts for evaluation of hypertrophy and cross marks staining points, according Trimboset al.,1993 | 6 Months | 
| Photographic documentation for evaluation | The photographic record was sent to another expert for evaluation of hypertrophy and cross marks staining points, according Trimboset al.,1993, besides scar mesure | 6 Months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Wound Closure Thechnical, Wound Healing