Does Suture Choice Matter? Vicryl versus Monocryl in Subcutaneous Fat Closure

Area of Science:

• Obstetrics and Gynecology
• Surgical Innovation
• Wound Healing Research

Background:

• Lower segment cesarean section (LSCS) wound complications increase morbidity and patient dissatisfaction.
• Suture material choice for subcutaneous fat closure significantly impacts LSCS wound healing.
• Absorbable sutures like polyglactin 910 (Vicryl) and poliglecaprone 25 (Monocryl) have distinct properties affecting tissue response.

Purpose of the Study:

• To compare the efficacy of Vicryl versus Monocryl for subcutaneous fat closure in LSCS.
• To evaluate postoperative outcomes including wound healing, pain, and cosmetic results.
• To identify optimal suture material for improved patient recovery after cesarean delivery.

Main Methods:

• A comparative study of 50 primigravida patients undergoing LSCS.
• Subcutaneous fat closure randomized to either Vicryl (25 patients) or Monocryl (25 patients).
• Assessment of wound healing, pain, seroma, infection, and cosmetic outcome post-surgery.

Main Results:

• Monocryl group exhibited superior early wound comfort and reduced induration.
• Better cosmetic satisfaction was reported in the Monocryl group.
• The Vicryl group showed a more pronounced local inflammatory response.

Conclusions:

• Poliglecaprone 25 (Monocryl) appears advantageous for subcutaneous fat closure in LSCS.
• Monocryl offers improved patient comfort and aesthetic results compared to polyglactin 910 (Vicryl).
• This suggests Monocryl as a preferred option for cesarean wound management to minimize complications.