The Contribution of the Single-knot Fascia Closure as a New Technique in Reducing Postoperative Cesarean Section Pain

Abstract

Abstract Introduction: After cesarean section, many women complain of postoperative incision site and abdominal pain. Surgical techniques can be effective in relieving this pain to some extent. We compared the effects of single-knot fascia closure technique and classical fascia closure technique on postoperative pain in fascia closure. Methods: A total of 80 cases were included in this prospective, randomized, single-center study. Classical fascia closure method was applied to one group and single-knot fascia closure method was applied to the other group. Pain was evaluated with Visual Analogue Scala (VAS) at 8 and 24 hours postoperatively. The cases were followed up for the development of infection, hematoma, seroma and hernia at the wound site within 3 months postoperatively. Results: Wound infection, seroma, hematoma and hernia did not develop in the postoperative period in both groups. However, VAS values ​​at the 8th and 24th hours were significantly lower in the group in which the single knot fascia closure method was applied. Conclusion: Single-knot fascia closure method is an effective and reliable method in reducing postoperative pain after cesarean section.