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| courtesy: https://www.esutures.com/product/images/full/IMG-6441.jpg |
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| courtesy:http://media.xn--benersttning-lcb.se/2012/05/vicryl1.jpg |
Subcuticular skin
closure after cesarean delivery with poliglecaprone 25 suture IMONOCRYL) decreases
the rate of cesarean wound complications by 39% as compared with polyglactin
910 suture (Coated VICRYL) says the result of randomized control trial published ahead of print in Journal Obstetrics and Gynecology.
Monocryl is
monofilament, absorbable suture which dissolves slowly and loses strength while
Vicryl is braided, absorbable suture that dissolves quickly but maintain
strengths.
The type of skin
suture and rate of wound infection after cesarean section has not been widely studied.
In this study, the researchers compared the two sutures in term of subsequent
wound complication rates (SSI, hematoma, seroma, wound separation) after a
cesarean section through a Pfannenstiel skin incision followed by subcuticular
closure.
This single center RCT conducted at Montefiore
Medical Center, New York recruited about 520 women over a course of 1.25 years.
About 263 women were randomized to receive the wound closure with monocryl
while in 209 women the wound was closed with vicryl.
The groups were similar in terms of
demographics, medical comorbidities and perioperative characteristics. They
were followed up for a period of 30 days for wound gaping of > 1 cm in
length, hematoma or seroma and surgical site infections as per Centers for
Disease Control and Prevention criteria’s.
Use of monocryl was associated with
significant less infection as compared to vicryl (8.8% compared with 14.4%
(relative risk 0.61, 95% CI 0.37-0.99; P=.04).
The researchers concluded that,” Closure
of the skin after cesarean delivery with poliglecaprone 25 suture decreases the
rate of wound complications compared with polyglactin 910 suture.”
The study was also presented at
the 37th annual meeting of Society for Maternal-Fetal Medicine, January 23-28 Las Vegas.
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