Absorbable suture. Best aesthetic outcome in cesarian scar1

Area of Science:

• Obstetrics and Gynecology
• Dermatology
• Surgical Innovation

Background:

• Cesarean sections are common surgical procedures.
• Skin closure techniques significantly impact post-operative scarring and patient satisfaction.
• Optimizing aesthetic outcomes after cesarean delivery is a key clinical goal.

Purpose of the Study:

• To compare the aesthetic results of poliglecaprone 25 versus nylon for intradermal skin closure after cesarean section.
• To evaluate scar hypertrophy, color, and width using standardized assessment methods.

Main Methods:

• Randomized clinical trial involving 60 women undergoing their first cesarean section.
• Intradermal sutures with either poliglecaprone 25 (4.0) or nylon (4.0).
• Standardized scar photography and blinded assessment by obstetricians and plastic surgeons using the Trimbos scale.

Main Results:

• No significant baseline differences in age or BMI between groups.
• Scars closed with poliglecaprone 25 showed significantly reduced hypertrophy (p=0.001).
• Poliglecaprone 25 sutures resulted in thinner scars (p=0.019) with more acceptable color (p=0.019) compared to nylon.

Conclusions:

• Poliglecaprone 25 provides superior aesthetic results for cesarean skin closure compared to nylon.
• This suggests poliglecaprone 25 is a preferred suture material for minimizing visible scarring after C-sections.