Techniques and materials for closure of the abdominal wall in caesarean section

Abdominal fascia closure following elective midline laparotomy: a surgical experience at a tertiary care hospital in Tanzania

“…Despite lack of statistically significant difference in the current study, the use of multifilament has been reported to be associated with increased incidence of surgical site infections as compared to monofilament. Our finding is in agreement with other authors who reported no association between multifilament suture and surgical site infections [ 7 , 16 ]. It has been postulated that in multifilament sutures bacteria can escape from phagocytosis in the interstices between the threads and this is probably the reason why monofilament sutures are associated with a lower rate of surgical site infection than multifilament [ 17 , 18 ].…”

“…As reported by others [ 7 , 16 ], vicryl was the most commonly used suture material in elective midline laparotomy closure at our centre. However, Rahbari et al [ 19 ] showed the use of slowly absorbable suture like PDSII was higher (55%) followed by moderately absorbable suture like vicryl (39%) and non absorbable suture was used in only 5% of patients.…”

Abdominal fascia closure following elective midline laparotomy: a surgical experience at a tertiary care hospital in Tanzania

“…Despite lack of statistically significant difference in the current study, the use of multifilament has been reported to be associated with increased incidence of surgical site infections as compared to monofilament. Our finding is in agreement with other authors who reported no association between multifilament suture and surgical site infections [ 7 , 16 ]. It has been postulated that in multifilament sutures bacteria can escape from phagocytosis in the interstices between the threads and this is probably the reason why monofilament sutures are associated with a lower rate of surgical site infection than multifilament [ 17 , 18 ].…”

“…As reported by others [ 7 , 16 ], vicryl was the most commonly used suture material in elective midline laparotomy closure at our centre. However, Rahbari et al [ 19 ] showed the use of slowly absorbable suture like PDSII was higher (55%) followed by moderately absorbable suture like vicryl (39%) and non absorbable suture was used in only 5% of patients.…”

Suture Closure versus Non-Closure of Subcutaneous Fat and Cosmetic Outcome after Cesarean Section: A Randomized Controlled Trial

“…Hematomas predispose to wound morbidity, often represent major concerns to the patient and are therefore to be avoided. Our findings correspond with previous studies investigating the effect of suture closure of the subcutaneous tissue in obstetrical patients, although the rate of wound hematomas in our trial was slightly higher [7] . Objective evaluation of hematomas is difficult due to the lack of a validated evaluation or measurement tool.…”

Tailoring systematic reviews to meet critical priorities in maternal health in the intrapartum period

“…Nine studies 83–91 (14%) examined outcomes of surgical techniques. Studies on caesarean delivery included a review of each step of caesarean delivery, 91 closure and repair of the incision in caesarean delivery, 87–90 and wound drainage 85 . Studies focusing on vaginal delivery included a review of episiotomy, 86 anal sphincter repair, 84 and intrapartum interventions to prevent shoulder dystocia 83 .…”

Abdominal fascia closure following elective midline laparotomy: a surgical experience at a tertiary care hospital in Tanzania

“…Despite lack of statistically significant difference in the current study, the use of multifilament has been reported to be associated with increased incidence of surgical site infections as compared to monofilament. Our finding is in agreement with other authors who reported no association between multifilament suture and surgical site infections [ 7 , 16 ]. It has been postulated that in multifilament sutures bacteria can escape from phagocytosis in the interstices between the threads and this is probably the reason why monofilament sutures are associated with a lower rate of surgical site infection than multifilament [ 17 , 18 ].…”

“…As reported by others [ 7 , 16 ], vicryl was the most commonly used suture material in elective midline laparotomy closure at our centre. However, Rahbari et al [ 19 ] showed the use of slowly absorbable suture like PDSII was higher (55%) followed by moderately absorbable suture like vicryl (39%) and non absorbable suture was used in only 5% of patients.…”

Suture Closure versus Non-Closure of Subcutaneous Fat and Cosmetic Outcome after Cesarean Section: A Randomized Controlled Trial

“…Hematomas predispose to wound morbidity, often represent major concerns to the patient and are therefore to be avoided. Our findings correspond with previous studies investigating the effect of suture closure of the subcutaneous tissue in obstetrical patients, although the rate of wound hematomas in our trial was slightly higher [7] . Objective evaluation of hematomas is difficult due to the lack of a validated evaluation or measurement tool.…”

Tailoring systematic reviews to meet critical priorities in maternal health in the intrapartum period

“…Nine studies 83–91 (14%) examined outcomes of surgical techniques. Studies on caesarean delivery included a review of each step of caesarean delivery, 91 closure and repair of the incision in caesarean delivery, 87–90 and wound drainage 85 . Studies focusing on vaginal delivery included a review of episiotomy, 86 anal sphincter repair, 84 and intrapartum interventions to prevent shoulder dystocia 83 .…”

Abdominal fascia closure following elective midline laparotomy: a surgical experience at a tertiary care hospital in Tanzania

“…Despite lack of statistically significant difference in the current study, the use of multifilament has been reported to be associated with increased incidence of surgical site infections as compared to monofilament. Our finding is in agreement with other authors who reported no association between multifilament suture and surgical site infections [ 7 , 16 ]. It has been postulated that in multifilament sutures bacteria can escape from phagocytosis in the interstices between the threads and this is probably the reason why monofilament sutures are associated with a lower rate of surgical site infection than multifilament [ 17 , 18 ].…”

“…As reported by others [ 7 , 16 ], vicryl was the most commonly used suture material in elective midline laparotomy closure at our centre. However, Rahbari et al [ 19 ] showed the use of slowly absorbable suture like PDSII was higher (55%) followed by moderately absorbable suture like vicryl (39%) and non absorbable suture was used in only 5% of patients.…”

Suture Closure versus Non-Closure of Subcutaneous Fat and Cosmetic Outcome after Cesarean Section: A Randomized Controlled Trial

“…Hematomas predispose to wound morbidity, often represent major concerns to the patient and are therefore to be avoided. Our findings correspond with previous studies investigating the effect of suture closure of the subcutaneous tissue in obstetrical patients, although the rate of wound hematomas in our trial was slightly higher [7] . Objective evaluation of hematomas is difficult due to the lack of a validated evaluation or measurement tool.…”

Tailoring systematic reviews to meet critical priorities in maternal health in the intrapartum period

“…Nine studies 83–91 (14%) examined outcomes of surgical techniques. Studies on caesarean delivery included a review of each step of caesarean delivery, 91 closure and repair of the incision in caesarean delivery, 87–90 and wound drainage 85 . Studies focusing on vaginal delivery included a review of episiotomy, 86 anal sphincter repair, 84 and intrapartum interventions to prevent shoulder dystocia 83 .…”