Comparison Between the Knotless Suture Technique and The Conventional Technique in Rectus Sheath Closure of Cesarean Section
Abd El-Karim, M., Abd Eltawab, A., Eid, S. (2022). Comparison Between the Knotless Suture Technique and The Conventional Technique in Rectus Sheath Closure of Cesarean Section. EKB Journal Management System, 88(1), 3808-3811. doi: 10.21608/ejhm.2022.252217
Mohamed Abd El-Karim; Ahmed Mohamad Abd Eltawab; Samia Mohamad Eid. "Comparison Between the Knotless Suture Technique and The Conventional Technique in Rectus Sheath Closure of Cesarean Section". EKB Journal Management System, 88, 1, 2022, 3808-3811. doi: 10.21608/ejhm.2022.252217
Abd El-Karim, M., Abd Eltawab, A., Eid, S. (2022). 'Comparison Between the Knotless Suture Technique and The Conventional Technique in Rectus Sheath Closure of Cesarean Section', EKB Journal Management System, 88(1), pp. 3808-3811. doi: 10.21608/ejhm.2022.252217
Abd El-Karim, M., Abd Eltawab, A., Eid, S. Comparison Between the Knotless Suture Technique and The Conventional Technique in Rectus Sheath Closure of Cesarean Section. EKB Journal Management System, 2022; 88(1): 3808-3811. doi: 10.21608/ejhm.2022.252217

Comparison Between the Knotless Suture Technique and The Conventional Technique in Rectus Sheath Closure of Cesarean Section

The Egyptian Journal of Hospital Medicine
Article 246, Volume 88, Issue 1, July 2022, Page 3808-3811  XML PDF (348.08 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.252217
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Authors
Mohamed Abd El-Karim email ; Ahmed Mohamad Abd Eltawab; Samia Mohamad Eid
Obstetrics and Gynecology department, Damietta Faculty of medicine - Al-Azhar University
Abstract
Background: The rectus sheath is closed during a cesarean section using a variety of methods and suture materials. To ensure optimal healing and minimize problems, a few general guidelines should be followed while sealing the anterior abdominal wall. All sutures used to seal the musculofascial wall must be tightened to roughly resemble the incision's margins. The tissue will become ischemic and necrosis will form if a further strain is applied.
Objective: The purpose of this study was to compare the Knotless suture technique to traditional techniques in rectus sheath closure after a cesarean section.
Patients and Methods: In this randomized control study 90 patients undergoing cesarean section were divided into two equal groups in the Obstetrics and Gynecology Department at Al-Azhar University hospitals of Damietta for elective cesarean section.
Results: In the present study,  there was no statistically significant difference between study groups as regards infection of wound dehiscence at 1st week. Also, there was a statistical increase in the number of granulomas and discomfort in group B than in group A.
Conclusion: In conclusion, we can say knotless suture for rectus sheath closure post-CS could save time and provide an effective method for closure of rectus sheath with a lower risk of complications, postoperative pain, and discomfort.
 
Keywords
Knotless Suture; Rectus Sheath; Cesarean Section; Pfannenstiel
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