ONE-LAYER CLOSURE OF LOW SEGMENT TRANSVERSE UTERINE INCISION BY THE LEMBERT TECHNIQUE

We evaluated the safety of closure of the Kerr incision by one-layer, continuous unlocked suture parallel to the incision. One hundred eight een women who had undergone cesarean section were randomly selected an d divided into two groups. Sixty-three women were in the study group. The uterine incisions of 55 women in the control group were closed by two continuous layers of suture, with the first layer locked. In both groups, number 1 polyglactin 910 (Vicryl) was used as suture material. Operating time, percent hematocrit decrease from before the operation to postoperative day 2, postoperative complications, and the time spe nt at hospital were the parameters compared. In no outcome measures wa s the two-layer closure technique found to be superior to the one-laye r technique. We recommend one-layer closure with continuous unlocked s uture parallel to the cut edges (Lembert stitch) in cesarean section w ith a low segment transverse uterine incision.