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Updated: Jun 14, 2026
A Mouse Fetal Skin Model of Scarless Wound Repair
Published on: January 16, 2015
Scar appearance of different skin and subcutaneous tissue closure techniques in caesarean section: a randomized study
Isabell Gaertner1, Tilo Burkhardt, Ernst Beinder
1Department of Obstetrics and Gynaecology, Clinic of Obstetrics, University Hospital of Zurich, Zurich, Switzerland.
Objectives:
To determine the role of skin and subcutaneous space closure in caesarean section on the cosmetic appearance of the scar and the patients' satisfaction.
Study Design:
153 patients undergoing caesarean section without prior abdominal delivery were included and randomly assigned in a non-blinded study to four different combinations of skin and subcutaneous tissue closure. The scar was assessed after a period of at least 4 months by a self-developed protocol and the patient was asked to complete a survey regarding her satisfaction with the scar.
Results:
One hundred patients were eligible for long-term evaluation of the scar. Skin closure by either staples or intracutaneous suture in combination with closure or non-closure of the subcutaneous space has a comparable outcome in view of cosmetic outcome and patient satisfaction.
Conclusions:
All four methods of skin closure seem to be a reasonable choice in caesarean section because they have comparable cosmetic outcome, do not differ with respect to the patients' satisfaction and bear comparable costs.
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