Dermabond-adhesive glue versus polypropylene sutures for cesarean section-skin closure

To compare the Dermabond-adhesive glue versus polypropylene sutures for cesarean section (CS) skin closure.

One hundred women admitted for elective CSs (ECSs) were randomized into two groups; Dermabond group including women underwent CS-skin closure using Dermabond-adhesive glue and polypropylene group including women underwent CS-skin closure using polypropylene sutures. Participants were evaluated weekly for two months after the ECSs to detect the post-CS surgical site infection (SSI). Participants were asked to complete a modified Patient Scar Assessment Scale (PSAS) to detect the CS-scar related symptoms and overall satisfaction.

The superficial post-CS SSI was reported in 10% (5/50) of participants; 2 cases (4%) in Dermabond group and 3 cases (6%) in polypropylene group (p = 0.6). No statistical differences were reported between studied groups regarding, ECS duration (44.78 ± 3.44 min for Dermabond group vs 45.6 ± 3.78 for polypropylene group) (p = 0.7) or CS-skin closure duration (2.46 ± 0.34 min for Dermabond group vs 3.6 ± 0.36 for polypropylene group) (p = 0.6). Third-day post-CS pain score was statistically lower, and overall satisfaction was statistically higher when Dermabond group was compared to polypropylene group (2.34 ± 0.47 and 2.9 ± 0.3, respectively vs 2.86 ± 0.35 and 2.34 ± 0.47, respectively), (p = 0.02 and < 0.0001, respectively).

Dermabond-adhesive glue was a safe and successful alternative to polypropylene for CS-skin closure. Third-day post-CS pain score was statistically lower, and overall satisfaction was statistically higher when Dermabond group was compared to polypropylene group.