CompletedNot Applicable

No Closure vs Interrupted vs Continuous Subcutaneous Closure: Operative Time and Wound Outcomes

Turkey (Türkiye)300 participantsStarted 2022-03-30

Plain-language summary

The goal of this clinical trial is to research whether different methods of suturing during elective cesarean delivery affect surgery time and early wound healing. The study includes adults undergoing elective cesarean delivery with subcutaneous fat thickness of at least 2 centimetres. The main questions it aims to answer are: * Does the closure method change how long the surgery takes? * Does the closure method change the chance of wound problems by day ten after surgery (such as fluid collection under the skin or wound infection)? The investigators will compare three approaches-no subcutaneous suturing, three interrupted sutures, and one continuous non-locking suture-to research if one method improves wound outcomes without meaningfully increasing operative time. Participants will: Receive one of the three closure methods during their cesarean delivery Return around day ten after surgery for a standardised wound examination and an ultrasound evaluation of the incision area.

Who can participate

Age range

18 Years

Sex

FEMALE

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Age 18 years or older * Scheduled for elective cesarean delivery via Pfannenstiel incision at the study site * Subcutaneous adipose tissue thickness 2 cm or greater (measured intraoperatively/at time of surgery per protocol) * Able and willing to provide written informed consent * Willing to return for postoperative day 10 follow-up assessment (clinical exam and incision-site ultrasonography) Exclusion Criteria: * Any condition associated with impaired wound healing (e.g., diabetes mellitus, autoimmune disease) * Current systemic corticosteroid use * Suspected or confirmed infection at the time of delivery, including chorioamnionitis * Premature rupture of membranes * Refusal or inability to provide informed consent

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1This trial compared three different ways of closing the layer of fat under the skin during a C-section — no closure, interrupted sutures, and continuous sutures — so which of these three techniques does my surgeon currently use, and why do they prefer it?
2Since this study measured wound complications by day 10 after surgery, did my doctor see the results, and do those results suggest one technique had fewer infections or wound problems than the others?
3Given that this trial is now completed, has any of its findings changed how my surgical team approaches subcutaneous closure during C-sections, or are they still following the same approach they used before?
4If I am planning a C-section, is it worth asking my surgeon specifically about subcutaneous closure as part of our pre-operative conversation, or is this typically a decision made entirely in the operating room?
5Are there other factors in my specific situation — like my weight, skin thickness, or history of previous C-sections — that might make one of these three closure techniques a better or worse choice for me personally?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Overall wound complications by postoperative day 10

Timeframe: Postoperative day 10

Trial details

NCT IDNCT07451275

SponsorYuzuncu Yil University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2022-10-20

View on ClinicalTrials.gov More Post Operative Wound Infection trials