Effects of modified suture method on the skin healing, cesarean section scar and maternal satisfaction
10.11958/20161547
- VernacularTitle:改良缝合方式对剖宫产后产妇皮肤愈合、瘢痕愈合及满意率的影响
- Author:
Lili MENG
;
Xiaolei WANG
;
Jiaxu WANG
;
Changjuan WANG
;
Shuying CHEN
- Keywords:
cesarean section;
suture techniques;
wound healing;
cicatrix
- From:
Tianjin Medical Journal
2017;45(5):526-529
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of modified suture on the maternal skin healing, scar healing and satisfaction to cesarean section. Methods A total of 244 cases of cesarean section in our hospital from January 2015 to January 2016 were randomly collected and divided into observation group (n=143) and control group (n=101). Patients in the observation group were treated with the modified suture method, and the control group was given the conventional method to suture the skin. The VAS score, suture time and complication rate were observed in the 2 groups. Results The VAS scores were significantly lower at one week and one month after operation (1.15±0.43 and 0.07±0.01, respectively) than those of the control group (1.40±0.51 and 0.13±0.03, respectively, P<0.05). The suture time were significantly shorter in the observation group (5.12±0.95) than those of control group (7.28±0.83, P<0.05). Postoperative complication rate was significantly lower in observation group (2.80%) than that of control group (9.90%, P<0.05). The comfort level to incision and satisfaction rate to scar were significantly higher (94.41% and 95.10%, respectively) than those of control group (83.17% and 87.13%, respectively). The average thickness of scars at day 90 and day 180 after operation were significantly less in the observation group [(2.14±0.32) mm and (3.08±1.02) mm, respectively] than those of the control group [(3.10±0.48) mm and (5.22±1.10) mm, respectively, P<0.05)]. Conclusion The improved suture method after cesarean section has the advantages of shorter suture time, less poor wound healing, higher maternal satisfaction rate.