Absorbable Suture Versus Nonabsorbable Suture Intradermal for the Skin Transverse Section in Cesarean

Context: Cesarean section is the most common surgery in women, both in developed and underdeveloped countries. However results are conflicting report in which material for intradermal suturing get better aesthetic result. Objective: To compare the aesthetic appearance of two suture materials, polyglecaprone 25 and polyamide (nylon) with intradermal sutures for skin closure in women undergoing cesarean section first. Methods: This is a clinical, prospective and randomized study which was conducted in the Department of Gynecology and Obstetrics of a tertiary Institute, Hospital das Clinicas Samuel Libânio, in PousoAlegre, Estate of Minas Gerais. Sixty women undergoing cesarean section were first included and randomized into two groups: group I (n = 30) polyamide and group II (n = 30) polyglecaprone 25. Hypertrophy, color and width of the wound were evaluated, receiving a score, according to Trimbos table, six months after surgery. Later the results were compared to non-parametric statistical tests

Inclusion Criteria:

• Patients who underwent cesarean section
• No restriction of ethnicity, education or social class

Exclusion Criteria:

• Scarring Pfannenstiel prior
• Diabetic patients using drugs;
• Patients with collagen diseases
• Patients with pre operative tests to indicate any systemic sign of infection or site, not previously treated until the time of surgery.
• Patients who withdrew informed consent
• Patients who did not attend the pre scheduled dates for the controls after surgery .