A Comparative Study of Tissue Adhesive And Absorbable Subcuticular Suture In Skin Closure Of Pfannenstiel Incision In Obstetric And Gynecological Surgeries

Abstract

Objectives: To compare the difference between tissue adhesive and absorbable subcuticular suture in skin closure of Pfannenstiel incision. Methods: It was a prospective, quasi-experimental study in which 70 women were recruited at a tertiary care hospital. The main outcome measures were cosmesis and wound complications. Results: Out of the 70 women recruited, the skin incisions of 35 were closed with tissue adhesive and the other 35 with absorbable subcuticular suture. There was no significant difference in outcome in terms of pain and complications although tissue adhesives were associated with a better cosmetic outcome at a six-week follow up visit. Conclusions: Skin adhesive and absorbable subcuticular sutures are effective methods of skin closure for cesareans and gynecological surgeries, with low rates of complications and comparable patient satisfaction.