Skin Adhesive Plus Intra-cuticular Suture Versus Suture Alone for Cesarean Skin Closure

Intracuticular Suture Alone Compared to Intracuticular Suture and Skin Adhesive Material for Skin Closure After Cesarean Delivery : a Prospective Randomized Control Study

The goal of this randomized control trial is to compare two skin closure techniques after cesarean section. Both techniques are currently in wide use but no comparison between the two was reasserted yet. The two techniques are- First technique is intracuticular suture using monofilament suture, Second technique is intracuticular suture and biological adhesive material. The investigators' primary outcome is to explore the rate of skin scar complications to understand whether one technique has a lower complication rate then the other. The secondary outcomes is to check whether one technique is better then the other in terms of patients' satisfaction, convenience and scar healing and appearance.

Patients at the age of 18 and above, undergoing elective cesarean section at the Hadassa medical center, can participate.

participants will be randomly assigned to one of the groups- the firs or the second technique.

Patients will be asked to fill out a questionnaire on POD 2 and attend a check-up appointment in-person with their surgeon 6-8 weeks post surgery. at the check-up the patient will be asked to fill out another questionnaire and undergo a scar appearance evaluation by the surgeon.

Inclusion Criteria:

• Patients undergoing elective cesarean section at Hadassa medical center
• Patients undergoing elective cesarean section btween 37+0/7 and 41+6/7 weeks of gestation

Exclusion Criteria:

• Patients undergoing emergency cesarean section
• patients undergoing cesarean section before 37+0/7 weeks of gestation
• patients with a history of previous wound complications after previous Caesarean section