International Journal of Clinical Obstetrics and Gynaecology

Background: Sutures are an essential part of any major surgery which serve to hold opposing tissues together and accelerate the healing process, resulting in decreased scarring of the affected areas. In the past, gold, silver, iron, and steel wires, dried animal gut, silk, and plant fibers (e.g., linen, cotton) have been used as suture materials. Obstetricians commonly use synthetic absorbent sutures for uterine closure during CS. This study aim to evaluate the effects of different synthetic absorbable suture materials on cesarean scar defect formation.

Methods: After excluding patients who did not meet inclusion criteria and those who declined to participate, the patients were randomly divided in to 2 groups: - study group І: - 35 patients and study group II: - 35 patients

Patients were subjected to the following: Ultrasound evaluation Ultrasound was done to ensure viability, determine the gestational age, the position of the placenta, the presenting part, the amniotic fluid and the estimated fetal weight using convex transducer of (Samsung Medison H60, Korea & 50/60 HZ).

Results: Regarding demographic data of the studied patients, Age, gestational age and BMI there were no significant difference between both groups. Regarding time of operation and type of anesthesia there were no significant difference between both groups. There was no significant difference in the preoperative, post-operative and delta Hb concentration between both groups. Regarding post-operative pain, there was no significant difference between both groups. Regarding post-operative hospital stay was no significant difference between both groups. Regarding myometrial thickness, total and residual myometrial thickness was significantly thicker in group II compared to group I.

Conclusions: Our results showed that monofilament sutures reduced pathological inflammation during wound healing without increasing costs, operation time, or intraoperative complication rates; resulting in improved uterine scar recovery; and potentially reduced CSD. These findings suggest that gynecological sequelae due to CSD and serious obstetric complications that may occur in subsequent pregnancies can be reduced.