Suture Materials and Technics, Possible Cause for C-Section Scar Defect

Abstract:

With the increasing number of births by Caesarean section a new pathology has made its presence felt, linked to the scarring of the low uterine transverse incision. It was found that after the birth by caesarean section some patients presented postmenstrual prolonged bleeding, spotting, pelvic pain and infertility. First described in 1995, the isthmocele is a healing defect in the anterior wall of the lower uterine segment at the caesarean hysterotomy site. This faulty scarring could be attributed to physiological peculiarities of the patient, to the suturing technique or ascribed to tissue reaction specifically to the type of suture material used. We found that it may be a correlation between the suture materials used and the appearance of the isthmocele. There are no large studies that asses the long-term outcome of C-section scar on prolonged menstrual bleeding, spotting and infertility and no comparison on the rate of appearance of this pathology by account of the suture material.

• Periodical: Key Engineering Materials (Volume 752)
• Pages: 54-58
• DOI: https://doi.org/10.4028/www.scientific.net/KEM.752.54
• Online since: August 2017
• Authors: Aida Petca, Dan Cristian Radu*, Mona Zvâncă, Bogdan Mastalier-Manolescu, Răzvan Petca, Mihaela Boț
• Keywords: C-Section, Isthmocele, Polyglactin, Polyglycolic Acid, Suture Material

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