COMPARISON OF SUTURE MATERIALS FOR CLOSURE OF SUBCUTANEOUS FAT AND SKIN IN CAESAREAN SECTION

Abstract

Objective:

To compare the outcomes of Vicryl sutures with Prolene sutures for wound closure after cesarean section surgery.

Methods:

This randomized clinical trial was conducted in the Department of Obstetrics and Gynecology at Lady Aitchison Hospital, Lahore, from August 2024 to February 2025. We included pregnant females who were planned for elective cesarean section. Patients were randomly divided into two equal groups. In group A, Vicryl sutures No. 1 were used for skin closure. In group B, Prolene sutures No. 1 were used for skin closure. After surgery, all patients were followed for 24 hours to determine the frequency of significant post-operative pain.

Results:

The mean age in Group A was 25.8 ± 2.70 years, while in Group B it was 26.1 ± 2.56 years (P=0.62). The mean gestational age was 37.9 ± 1.16 weeks in Group A and 40.23 ± 0.97 weeks in Group B (P=0.33). A comparison of the frequency of significant post-operative pain revealed that 8 patients (26.7%) in Group A (Vicryl Suture, N=30) experienced significant post-operative pain, whereas 16 patients (53.3%) in Group B (Prolene Suture, N=30) reported significant pain (P=0.03).

Conclusion:

The present study results demonstrated that the use of Vicryl sutures is associated with significantly lower post-operative pain in comparison to Prolene sutures in patients undergoing cesarean section.