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Suture Versus Glue (Dermabond) Closure During Cesarean Delivery

Phase 4
Conditions
Suture; Complications
Adhesive; Band
Interventions
Device: DERMABOND GLUE
Device: MODIFIED VICRYL PLUS
Registration Number
NCT02831946
Lead Sponsor
Meir Medical Center
Brief Summary

To investigate the effect of intracutaneous suture closure versus Glue (dermabond) closure at cesarean section (CS) on long-term cosmetic and maternal outcome.

Detailed Description

Women undergoing planned CS were randomized to either intracutaneous suture closure or glue closure using a 1:1 allocation algorithm. Participants and outcome assessors were blinded to group allocation. Scar evaluation was performed after two months.

Primary outcome measures were Patient and Observer Scar Assessment Scale (POSAS) summary scores 2 months after surgery. Secondary outcome measures were, duration of surgery, and development of hematoma, seroma, surgical site infection (SSI) or wound disruption.

Data were analyzed according to the intention to treat principle.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
100
Inclusion Criteria
  • Pregnant women between 18 and 45 years
  • Elective cesarian section
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Exclusion Criteria
  • Clinical signs of infection at the time of CS
  • History of keloids and a medical disorder that could affect wound healing
  • Hypersensitivity to any of the suture materials used in the protocol
  • Diabetes mellitus
  • Disorders requiring chronic corticosteroid use or immunosuppression
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
DERMABOND GLUEDERMABOND GLUEThe intra-cuticular layer will closed with with DERMABOND GLUE
MODIFIED VICRYL PLUSMODIFIED VICRYL PLUSThe intra-cuticular layer will closed with with VICRYL PLUS suture
Primary Outcome Measures
NameTimeMethod
Patient and Observer Scar Assessment Scale (POSAS)2 month

Subjective scar rating will be performed using the patient component of the POSAS. The POSAS Scale consists of 2 numerical numeric scales: The Patient Scar Assessment Scale and the Observer Scar Assessment Scale

Secondary Outcome Measures
NameTimeMethod
post operative complication1 month

Development of surgical site infection or wound disruption.

Trial Locations

Locations (1)

Meir Medical Center

🇮🇱

Kfar Saba,, Israel

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