Comparing Skin Closure Methods After Cesarean Section Using Sutures With or Without Skin Adhesive

What this Trial Is About

This research aims to compare two skin closure methods used after cesarean section in women aged 18 and older undergoing elective cesarean at Hadassa medical center. Both methods, intracuticular suture alone and intracuticular suture plus a biological adhesive material called Dermabond, are widely used but have not been directly compared. The study will explore which technique leads to fewer skin scar complications and assess patient satisfaction, convenience, and scar healing. Participants will be randomly assigned to one of two groups one receiving skin closure with intracuticular suture alone using monofilament suture, and the other receiving the same suture plus the biological adhesive applied on top. The study period includes the surgery day and up to 8 weeks post-surgery. Patients will complete questionnaires on postoperative day 2 and during a follow-up visit 6 to 8 weeks after surgery, when surgeons will also evaluate scar appearance. During the study, participants will attend an in-person check-up with their surgeon 6 to 8 weeks after the cesarean to assess scar healing and complete satisfaction questionnaires. Researchers will monitor skin wound complications from surgery through the 8-week period. Patient recovery, convenience, and satisfaction with the scar appearance are secondary outcomes. The total participation involves initial surgery, a questionnaire on day 2, and a follow-up evaluation weeks later.

Skin Adhesive Plus Intra-cuticular Suture Versus Suture Alone for Cesarean Skin Closure