The Purpose of this study is to compare two methods for closure of the skin after caesarean section on the same patient; staples and subcuticular sutures. The study is performed on two separate groups of patients: 1. Woman having cesarean section for the first time and have not previously had abdominal surgery through a lower abdominal transverse incision. 2. Woman, who have previously had a caesarean section done. The following parameters are registered: 1. An objective evaluation of the two ends of the scar 6 months postoperatively. 2. A patient evaluation of the two ends of the scar 6 months postoperatively. 3. The difference in pain in the two ends of the scar 1 day postoperatively (blinded). 4. The difference in pain in the two ends of the scar 7 days, 3 and 6 months postoperatively. 5. The rate of infection.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
60
Closure of the skin after cesarean section with staples on the left side of the wound and subcuticular suture on the right side.
Closure of the skin after cesarean section with staples on the right side of the wound and subcuticular suture on the left side.
Department of Gynaechology and Obstetrics, Holbæk Sygehus
Holbæk, Denmark
Preferred side of the caesarean section scar
Preferred side of the scar and thereby method for closure of the skin: Staples, subcuticular suture or no difference.
Time frame: 6 months postoperatively
The difference in pain between the two ends of the scar
Difference in painscore between the two ends of the scar 1st and 7th postoperative day. Pain is registered by a score on a vas-scale from 0-10.
Time frame: 1 and 7 days postoperatively
The difference in pain between the two ends of the scar
Difference in painscore between the two ends of the scar 3 and 6 months postoperatively. Pain is registered by a score on a vas-scale from 0-10.
Time frame: 3 and 6 months postoperatively
Pain in the two ends of the scar
Pain in the two ends of the scar registered by a score on a vas-scale from 0-10 1 and 7 days postoperatively.
Time frame: 1 and 7 days postoperatively
Pain in the two ends of the scar
Pain in the two ends of the scar registered by a score on a vas-scale from 0-10 3 and 6 months postoperatively.
Time frame: 3 and 6 months postoperatively
Infection
The rate of postoperative infection and what side of the scar - right or left -that is infected.
Time frame: 7 days postoperatively
Infection
The rate of postoperative infection and what side of the scar - right or left -that is infected.
Time frame: 3 and 6 months postoperatively
Cosmetic objective evaluation of the two ends of the scar
Evaluation of the right and left side of the scar respectively by two blinded doctors using the Singer's "scar evaluation scale" . Difference in Singer's score between the two ends of the scar.
Time frame: 6 months postoperatively
Comparison of outcome measures in woman with no previous abdominal surgery and woman with previous caesarean section.
Primay and Secondary outcome measures are compared in the two groups of patients.
Time frame: 6 months
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