Subcutaneous Tissue: To Suture or Not to Suture at Cesarean Section

Van R. Bohman, Larry C. Gilstrap, Susan M. Ramin, Bertis B. Little, Rigoberto Santos-Ramos, Kenneth G. Goldaber, Jody Dax, Kenneth J. Leveno

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Objective: The null hypothesis for this investigation was that there was no difference in the frequency of wound disruption between women who had their subcutaneous tissues approximated with suture and those who did not during cesarean section. Methods: During alternating months, consecutive women delivered by cesarean section either did (N = 716) or did not (N = 693) have their subcutaneous tissues closed with suture. All data were analyzed using chi square, Student’s t-test, Fisher’s exact probability test, analysis of variance, or logistic regression. Results: A 32% decrease in the frequency of wound disruption was observed when subcutaneous tissues were brought into apposition with suture at cesarean section (P — 0.03). Conclusions: Closure of Scarpa’s and Camper’s fascia with suture during cesarean section significantly decreased the frequency of wound disruption in this population.

Original languageEnglish (US)
Pages (from-to)259-264
Number of pages6
JournalInfectious Diseases in Obstetrics and Gynecology
Issue number6
StatePublished - 1994


  • Wound disruption
  • infection
  • wound closure

ASJC Scopus subject areas

  • Dermatology
  • Obstetrics and Gynecology
  • Infectious Diseases


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