[The single-layer uterine suture in cesarean section. A comparative study]

Area of Science:

• Obstetrics and Gynecology
• Surgical Techniques
• Maternal Health

Background:

• Caesarean section is a common surgical procedure.
• Myometrial closure technique may influence maternal morbidity.
• Optimizing Caesarean section outcomes is crucial for patient safety.

Purpose of the Study:

• To compare maternal morbidity between one-layer and two-layer uterine sutures in Caesarean sections.
• To evaluate the impact of suture technique on postoperative outcomes.
• To identify factors influencing Caesarean section success.

Main Methods:

• Retrospective analysis of 6064 Caesarean sections.
• Comparison of outcomes between 96 one-layer and 201 two-layer myometrial sutures.
• Assessment of morbidity, blood loss, uterine involution, scar healing, and febrile courses.

Main Results:

• One-layer suture group showed significantly lower morbidity (19% vs. 37%).
• One-layer sutures were associated with less blood loss, better uterine involution, and improved scar healing.
• Afebrile courses were more common with one-layer sutures (92% vs. 76%).

Conclusions:

• One-layer myometrial closure in Caesarean sections is associated with reduced maternal morbidity.
• Surgical expertise is paramount, outweighing the routine use of antibiotics.
• The choice of suture technique impacts postoperative recovery and patient well-being.