Subcuticular Skin Closure at Cesarean Delivery

Study Overview
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Brief Summary
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Subcuticular skin closure with suture after cesarean has been shown to result in lower rates of wound complications than with staple closure. However, the optimal choice of suture material for subcuticular skin closure is unclear. Vicryl vs Prolen suture materials will be used for subcuticular closure of transverse skin incisions after cesarean section. Patients will be controlled for superficial surgical site infections 1 week after the cesarean section.

Detailed Description
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Cesarean section is the most common abdominal surgery worldwide. Subcuticular skin closure with suture after cesarean has been shown to result in lower rates of wound complications than with staple closure. However, the optimal choice of suture material for subcuticular skin closure is unclear. Vicryl vs Prolen suture materials will be used for subcuticular closure of transverse skin incisions after cesarean section. Patients will be controlled for superficial surgical site infections 1 week after the cesarean section.

Official Title
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Comparison of Suture Materials for Subcuticular Skin Closure at Cesarean Delivery

Conditions
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Cesarean Section; Infection

Intervention / Treatment
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* Procedure: Cesarean Section with Vicryl
* Procedure: Cesarean Section with Prolen


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18-40 women undergoing cesarean section Exclusion Criteria: body mass index>30

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: cesarean section with Vicryl<br>Women undergoing cesarean section with low transverse skin incisions will be closed with 3-0 Vicryl. | Procedure: Cesarean Section with Vicryl<br>* Pfnannenstiel incision will be done under general or spinal anaesthesia. The abdomen will be opened and fetus and plasenta will be delivered. Then abdomen will be closed. Skin will be closed with Vicryl.<br>|
| Active Comparator: cesarean section with prolene<br>Women undergoing cesarean section with low transverse skin incisions will be closed with 3-0 Prolen. | Procedure: Cesarean Section with Prolen<br>* Pfnannenstiel incision will be done under general or spinal anaesthesia. The abdomen will be opened and fetus and plasenta will be delivered. Then abdomen will be closed. Skin will be closed with prolen.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| surgical site infection | infection | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cesarean Section; Complications, suture material