COMPARISON OF PURSE STRING SUTURE VERSUS DOUBLE LAYER CONTINUOUS SUTURE FOR REPAIRING THE UTERINE INCISION DURING CESAREAN SECTION

Abstract

Objectives: To compare the outcomes of purse string suture versus double layer continuous suture for repairing the uterine incision during cesarean section.

Study design: Quasi-experimental study.

Place and Duration of the study: Combined Military Hospital, Peshawar from August-2024 to March-2025.

Methodology: A total of 42 women who underwent cesarean section were included. Based on the suture technique used for repairing uterine incision, patients were divided into Group-P (Purse string suturing) and Group-D (Double layer continuous suturing). Outcomes were compared between the groups. Data was analyzed using SPSS version 22.

Results: In this study, 42 women were included divided into two groups. Median age was 27.00 (7.25) years. Mean length of surgery was significantly longer in Group-P compared to Group-D, (p < 0.001). Mean time taken to close the uterus was significantly longer in Group-P compared to Group-D, (p = 0.002). Mean time taken to achieve hemostasis was significantly shorter in Group-P compared to Group-D, (p < 0.001). During the six weeks follow up period, in Group-P, SWI occurred in 2 (9.52%) while in Group-D (n = 21) it occurred in 3 (14.29%), (p = 0.634). At six weeks follow up, frequency of residual uterine defect in Group-P (n = 21) was 4 (19.05%) while in Group-D (n = 21), it was 11 (52.38%), (p = 0.024).

Conclusion: Purse string technique of suture application for the closure of uterine incision is significantly safer compared to double layer continuous suture application.