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To investigate the effect of intracutaneous suture closure versus Glue (dermabond) closure at cesarean section (CS) on long-term cosmetic and maternal outcome.
Women undergoing planned CS were randomized to either intracutaneous suture closure or glue closure using a 1:1 allocation algorithm. Participants and outcome assessors were blinded to group allocation. Scar evaluation was performed after two months.
Primary outcome measures were Patient and Observer Scar Assessment Scale (POSAS) summary scores 2 months after surgery. Secondary outcome measures were, duration of surgery, and development of hematoma, seroma, surgical site infection (SSI) or wound disruption.
Data were analyzed according to the intention to treat principle.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MODIFIED VICRYL PLUS | Experimental | The intra-cuticular layer will closed with with VICRYL PLUS suture |
|
| DERMABOND GLUE | Experimental | The intra-cuticular layer will closed with with DERMABOND GLUE |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MODIFIED VICRYL PLUS | Device | closing the intra-cuticular layer with MODIFIED VICRYL PLUS suture |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient and Observer Scar Assessment Scale (POSAS) | Subjective scar rating will be performed using the patient component of the POSAS. The POSAS Scale consists of 2 numerical numeric scales: The Patient Scar Assessment Scale and the Observer Scar Assessment Scale | 2 month |
| Measure | Description | Time Frame |
|---|---|---|
| post operative complication | Development of surgical site infection or wound disruption. | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yair M Daykan, MD | Contact | 972-542198231 | yair.dykan@gmail.com | |
| Reut Ohana | Contact | 972-9-7471588 | reut.ohana@clalit.org.il |
| Name | Affiliation | Role |
|---|---|---|
| Reut Ohana | Meir Helsinki | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Meir Medical Center | Recruiting | Kfar Saba | Israel | 11125 | Israel |
within 6 m of finishing the study
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| DERMABOND GLUE | Device | closing the intra-cuticular layer with Dermabond glue |
|