Trial Comparing Barbed and Non-barbed Suture for Uterine Incision Closure at Cesarean Section

Randomized Trial Comparing Barbed and Non-barbed Suture for Uterine Incision Closure at Cesarean Section

This was an unblinded randomized controlled trial. Women were randomized to uterine closure with the knotless barbed suture (Stratafix PDS, Ethicon) or Vicryl (Ethicon) at the time of elective cesarean. The primary outcome was closure time of the uterine incision. Also measured were blood loss during incision closure and the use of additional hemostatic sutures. Informed consent was obtained

Inclusion Criteria:

• elective cesarean
• elective repeat cesarean

Exclusion Criteria:

• emergent or urgent cesarean
• PROM
• chorioamninitis
• placental abruption
• placenta previa or accreta
• known uterine fibroids
• women with known medical problems such as coagulopathy