[Single-layer or double-layer suturing of the uterine incision in cesarean section?]

The aim of the study is to compare the early complications after '/' cesarean section due to the way of closure of a low transverse uterine incision--single layer or two layers.

We investigated retrospectively in the clinical data (history of birth) 450 women with cesarean section: 300 with single layer and 150--with two layers> The hysterotomy was closed by suture with cat-gut plain No. 2 or chromic No. 1 or No. 2. Results showed single layer repair of the uterus is connected with better postoperative prognosis: low rates of febrile morbidity and wound infection, shorter hospitalization time, better involution of the uterus, p < 0.05. We had no dehiscence and secondary bleeding in both ways of repair, so relaparotomy wasn't needed.

Single-layer closure has advantages compared to two-layers closure that is why it is recommended for wider application.