Fascial Closure and Post-caesarean Pain
Pregnancy Related, Cesarean Section, Post-operative Pain
About this trial
This is an interventional other trial for Pregnancy Related focused on measuring Pregnancy-Related, Cesarean Section, Post-operative Pain, Fascial Closure, Surgical Technique
Eligibility Criteria
Inclusion Criteria:
- Women with singleton pregnancy undergoing elective lower segment caesarean section via a Pfannenstiel incision.
- Caesarean section done via regional anaesthesia (i.e. spinal regional anaesthesia, epidural anaesthesia, combo-spinal+epidural)
Exclusion Criteria:
- Multiple pregnancy
- General anaesthesia
- Caesarean section through laparotomy incision
- History of chronic pain
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Single suture, knot above fascia
Two sutures, knot above fascia
Two sutures, buried knots below fascia
Fascia sutured with #1 polysorb braided absorbable suture, with the knot being superficial to the fascia, starting at the left angle of the fascial incision and closed in a continuous fashion. The contralateral angle is grasped with a kocher clamp and the suture is then tied behind the angle ensuring adequate closure.
Fascia sutured using #1 polysorb braided absorbable suture with a superficial knot, starting at the left angle and closed in a continuous fashion until the suture is above the right rectus abdominis muscle belly. A second #1 polysorb braided absorbable suture is tied behind the right angle with a superficial knot and run across in a continuous fashion to meet the opposing suture which are then tied together.
Fascia sutured using #1 polysorb braided absorbable suture with a buried knot below the fascia starting at the left angle and closed in a continuous fashion until the suture overlies the right rectus abdominis muscle belly. A second #1 polysorb braided absorbable suture is then tied behind the right angle with a buried knot below the fascia and run across in a continuous fashion to meet the opposing suture which are then tied together.