Skin closure at Caesarean Section
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of FMCK undergoing Caesarean section with Pfannenstiel or Joel Cohen skin incision between the ages of 18 and 45 years, from 28 weeks 0 days to 41 weeks 6 days of gestation.
Exclusion criteria
Exclusion criteria: Patients with the following will be excluded: 1. Previous hypersensitivity to N-butyl cyanoacrylate glue 2. Asthmatic patients 3. Extremes of maternal weight; 90kg 4. Diabetes mellitus 5. Anaemia; PCV 24hrs 9. Patients with Intra uterine fetal death (IUFD) 10. Obstructed labour 11. Keloid scarring 12. Immunosuppressive disease conditions e.g., HIV, Systemic Lupus Erythematosus (SLE), Anti phospholipid syndrome, multiple sclerosis 13. Immunosuppressive treatment e.g., prolonged use of systemic steroids >3 months 14. Primary or previous Caesarean section not using Pfannenstiel or Joel Cohen incision 15. Do not consent to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measure To compare the scar outcome on day 5 (SCAR1) and at 6 weeks (SCAR2) post-operatively using SCAR scale in both the study and control group. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures 1. To compare the time taken for skin closure in both the study and control group. 2. To compare self-assessed pain 6 hours post-operatively using NPRS in both the study and control group. 3. To compare wound complications (wound dehiscence and superficial surgical site infection) at day 5 and at 6 weeks post operation in both the study and control group. 4. To assess and compare the patient’s and surgeons’ satisfaction using Scar VSS in both the study and control group. | — |
Countries
Nigeria
Contacts
Consultant Gynaecologist