ADHESIVE GLUE VERSUS SUBCUTICULAR SUTURE FOR CAESAREAN SECTION SKIN CLOSURE: A SYSTEMATIC REVIEW
Hafizur Rahman*, Sumit Kar, Ezzat Khalda and Kirti Singh
ABSTRACT
Background-Caesarean section (CS) is one of the most common surgeries performed globally and the trend has been increasing across countries. Conventionally, the skin incision in CS is closed with suture materials. Recently adhesive glue has been promoted as method for skin closure after surgery and also after CS. Aims-To summarize the current evidence that compare adhesive glue to sutures in caesarean section skin closure in the form of wound complication rate, postoperative pain and overall patient satisfaction Methods-This systematic review was carried out, including PubMed, Google Scholar, and EBSCO that examining clinical trials comparing adhesive glue and suture materials for skin closure in CS. Results-The review included two randomized controlled trials and 3 observational studies that compared adhesive glue to sutures for skin closure in caesarean section. Adhesive glue has insignificant trends towards lower cumulative wound complication rates with similar cosmesis and pain scores when compared to nylon sutures but has similar results when compared to monofilament epidermal sutures. Conclusion-Caesarean section skin closure using adhesive glue or a suture had similar results but non-significant bette outco e with adhesive glue. Both the ethod can be e ployed based on su geons and patients’ p efe ences.
Keywords: Skin closure; Dermabond; Adhesive glue; Subcuticular suture; Caesarean delivery.
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