Types of caesarean section sutures
1- Internal cosmetic suturing:
In the field of cosmetic suture, threads are used that have the ability to dissolve and decompose over time. These sutures are sewn from the inside to the outside of the wound, and not on the visible edges. This method contributes to obtaining satisfactory cosmetic results, so that less visible scars appear after healing.
Previously, insoluble sutures were used for sutures, and this required a visit to the doctor again to remove them and ensure the quality of wound healing about two weeks after surgery.
2- Stapling:
Many obstetricians and gynecologists prefer to use the stapling method to close wounds during surgical operations, due to its ease and speed. The surgical stapler used in this context works somewhat similar to traditional office staplers.
The staples used in surgical staplers can be either biodegradable, which automatically dissolves inside the body after a while, or non-biodegradable, which must be removed manually by the doctor after ensuring that the wound has improved, usually between two and three weeks. Recently, an increasing trend has been observed towards the use of biodegradable staples instead of those that need to be removed.
3- Pasting the wound:
The doctor carefully approximates the edges of the wound and applies an adhesive containing glycoprotein to ensure its cohesion. This is followed by covering the wound with gauze and bandages to protect it and support the healing process.
Which is better, stapling the cesarean wound or suturing it?
Women often wonder what is the best way to close wounds: is it using stapling or suturing with cosmetic threads? Studies show that both methods are similar in their effectiveness for closing wounds, as one study that included four groups of women who underwent cesarean sections showed that complete healing occurred for all wounds after six months, whether with stapling or cosmetic sutures.
The wound healing process depends not only on the method of closure, but also on the individual's health and physiological characteristics. For example, women with darker skin may develop thicker, darker scars around the wound. Health conditions, such as diabetes or platelet disorders, also affect the speed and efficiency of recovery.
The choice of wound closure method is up to the treating physician and the patient's personal preference. Some women prefer to use dissolvable threads to avoid another visit to the doctor for removal, while others show a preference for stapling due to its ease of application and safety.
Types of cesarean section wounds
In cesarean sections, the doctor makes two basic incisions to complete the delivery. The first wound is in the outer layer of skin in the lower abdomen, close to the pubic area, while the second wound is in the wall of the uterus.
The doctor chooses the type of external wound based on the specific condition of each birth. Available options include:
1. Horizontal incision: It is used in most cases, as doctors prefer it because it causes less bleeding and reduces the risk of rupture in future natural births.
2. Vertical incision: This incision is made vertically from the middle of the abdomen between the navel and the pubic hair. This type of wound is rarely used today and is limited to special cases that require rapid intervention due to serious conditions that may threaten the health of the fetus or mother, but it causes more bleeding and requires a longer time to heal.
Precautions and tips for cesarean wound care
It is important to take care of your health after undergoing any surgery to ensure that you recover properly. To prevent constipation and pressure on the wound, it is recommended to eat soft foods during the first two days after surgery and to consume foods rich in fiber and warm drinks later.
Also, you can chew gum after regaining consciousness from anesthesia to help relieve the pain of the wound, and it is preferable to continue doing so during the first days.
It is important to be careful not to sit in a way that increases pressure on the wound site. During breastfeeding, avoid holding your child close to the wound. He can be placed on a pillow to relieve pressure.
You should also avoid exposing the wound directly to water while showering and keep the area well ventilated without removing the bandages. Using a hairdryer or clean towel to gently dry the sweat may be helpful.
To enhance blood circulation and heal the wound quickly, it is recommended to walk for 12 minutes distributed over five periods during the day. Foot massage may also help prevent blood clots.
Avoid coughing and stay away from allergens such as strong odors and dust, and if you have to cough, protect the wound with your hand.
During the first three weeks after surgery, avoid physical exercise and lifting heavy weights to protect from any pressure on the wound.
Finally, carefully follow your doctor's instructions regarding wound care, timing of medical visits, and use of prescribed ointments to avoid infections and facilitate healing.
