Absorbable suture. Best aesthetic outcome in cesarian scar
Acta cir. bras
;
33(11): 1027-1036, Nov. 2018. tab, graf
Article
in English
| LILACS
| ID: biblio-973478
ABSTRACT
Abstract Purpose:
To compare two suture threads, poliglecaprone 25 and nylon, used as intradermal suture for skin closure in women undergoing their first cesarean section.Methods:
This is a randomized clinical trial. A total of 60 women undergoing their first cesarean section were enrolled and prospectively assessed. They were randomly allocated to group I (n=30), which received an intradermal suture with nylon 4.0 or to group II (n=30), which had an intradermal suture with poliglecaprone 25, 4.0. The main author took standardized photographs of the scar 6 months after the operation. Four independent raters, two senior obstetricians and two senior plastic surgeons (a male and a female physician from each specialty) assessed the photographs.The panelists rated the scar according to Trimbos scale, composed by the subscales hypertrophy, color and width of the scar.Results:
At baseline, patients in both groups were similar regarding age and body mass index. Five patients withdraw the study, four from group and one from group II. Scars of patients from group II were significantly less hypertrophic (p=0.001), thinner (p=0.019) and had more acceptable color (p=0.019).Conclusion:
The intradermal suture with poliglecaprone 25 for skin closure after cesarean incision provides better aesthetic result.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Polyesters
/
Sutures
/
Cesarean Section
/
Suture Techniques
/
Cicatrix
/
Dioxanes
/
Nylons
Type of study:
Controlled clinical trial
/
Observational study
Limits:
Female
/
Humans
Language:
English
Journal:
Acta cir. bras
Journal subject:
General Surgery
/
Procedimentos Cir£rgicos Operat¢rios
Year:
2018
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
UNIVÁS/BR
/
Universidade Federal de São Paulo/BR
/
Universidade do Vale do Sapucaí/BR
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