Which is better, absorbable or non-absorbable sutures for cesarean section?

Today, Xiaoshi, a pregnant woman who is about to have a caesarean section, made such a request when Dr. Bai, the surgeon in charge, talked to her before the operation.

Dr. Bai, can I use non-absorbable sutures after surgery?

Ha, moms nowadays are really nice and even the questions they ask are very professional.

Why? Absorbable sutures are used for suturing, the incision is beautiful, there is no need to remove the sutures, and the hospital stay of the mother can be reduced. Dr. Bai asked.

However, I heard that absorbable sutures are not very strong because they can be absorbed. I\’m too fat and I\’m afraid the wound will open if I try to suture it with absorbable sutures.

Xiaoshi turned out to be this kind of worried. Dr. Bai explained: The purpose of skin suturing during cesarean section is mainly to reduce skin scars through reasonable suturing, while reducing postoperative discomfort, and the incision must be beautiful. Tension is an important factor affecting scar formation. Therefore, during suturing surgery, we will focus on reducing skin tension, while eliminating dead space and reducing infection, so as to promote good healing of the incision and increase the cosmetic effect of the incision.

Xiaoshi nodded and said: Yes, this is the wish of all pregnant women.

Dr. Bai said: Absorbable sutures are used for this. First of all, the tensile strength of absorbable threads is 5-7 days longer than the time required for wound healing, including the strength of knotting, and it is also longer than catgut, so there is no problem in terms of safety. Secondly, when selecting surgical sutures, we will also choose different sutures according to the specific surgical form. Generally speaking, if the cesarean section is a transverse incision, we will use absorbable sutures for intradermal continuous sutures, including barbed sutures on the skin, to reduce tension and reduce postoperative scars. If it is a longitudinal incision, the skin tension will be relatively high. Sometimes, fine stitches are also used. Of course, when the tension is completely relieved, continuous intradermal sutures with absorbable sutures are used.

After listening to Dr. Bai talk about so many benefits of absorbable threads, Xiaoshi was also tempted and asked: Can this kind of absorbable threads be absorbed by the human body? What are the side effects?

Dr. Bai said: This absorbable thread is absorbed by the body through hydrolysis. It starts to be absorbed 15 days after implantation, most of it is absorbed in 30 days, and it is completely absorbed in 60-90 days. There is no problem in staying in the human body. A large number of tests have shown that absorbable thread has no allergic reaction to the human body and is non-toxic, so you can rest assured.

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