Aneesa Anam, Nazish Hayat, Aneela Rafiq, Sania Azmat, Mahrukh Azmat, Naveed Ullah, Hamza Azmat


Background: Surgical site infection following lower segment cesarean section is a morbidity which can prolong the recovery process. Subcuticular suturing with prolene is one of the method favored for skin closure for many reasons. The objective of this study was to determine the frequency of wound infection following skin closure with prolene, after lower segment cesarean section.

Materials & Methods: It was a descriptive Study conducted in Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan. This study was conducted from 1st January 2022 to 15th June 2022. A total of 97 pregnant women undergoing caesarean section delivery were included in the study. The same operation technique (Pfannenstiel technique) was used for all patients. Polypropylene (3.0 Prolene) was used as nonabsorbable suture material for skin closure. Post-operatively, all patients were followed up weekly and the final assessment of wound infection was done after 2 weeks.

Results: Age range in this study was from 20 to 35 years with mean age of 27.930±2.33 years, mean gestational age 38.450±0.93 weeks, mean parity 1.390±1.23 and mean duration of procedure was 49.490±7.18 minutes. Wound Infection was observed in 11.3% of patients.

Conclusion: Skin suturing with prolene is an effective method of suturing for reducing wound infection.


Caesarean section; Prolene suture; Wound infection; Pfannenstiel incision; non-absorbable suture.

Full Text:



WHO. Caesarean section rates continue to rise, amid growing inequalities in access; 2021.

Betran AP, Torloni MR, Zhang JJ, Gulmezoglu AM, WHO Working Group on Caesarean Section. WHO Statement on Caesarean Section Rates. BJOG 2016; 123:667-70.

Kumar A, Rai A. Prevalence of surgical site infection in general surgery in a tertiary care centre in India. Int Surg J 2017;4(9):3101.

Tariq A, Ali H, Zafar F, Sial A, Hameed K, Naveed S. A systemic review on surgical site infections: classification, risk factors, treatment complexities, economical and clinical scenarios. J Bioequiv Availab 2017;9(1):336-40.

Patel S, Thompson D, Innocent S, Narbad V, Selway R, Barkas K. Risk factors for surgical site infections in neurosurgery. Ann R Coll Surg Engl 2019;101(3):220-5.

Nasser R, Kosty JA, Shah S, Wang J, Cheng J. Risk factors and prevention of surgical site infections following spinal procedures. Global Spine J 2018;8(4 Suppl):44S-48S.

Mackeen AD, Berghella V, Larsen M-L. Techniques and materials for skin closure in caesarean section. In: Berghella V, editor. Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd; 2012.

Choudhary A, Bansal N, Chaudhari P. Closure of Pfannensteil skin incisions in Caesarean section: comparison of wound outcomes with interrupted mattress vs subcuticular suture. Int J Reprod Contracept Obstet Gynecol 2017;6(7):2964-9.

Khan UJ, Javed N, Arif K, Chaudhary MA. Skin Closure with Vicryl Vs Prolene in Day Case Surgeries. PJMHS 2022;16(05).

Bhawana D, Samariya DM, Samariya DA, Bagariya DS. Comparison of suture material and technique of closure of subcutaneous fat and skin in caesarean section. Int J Clin Obstet Gynaecol 2021;5(2):143-9.

Hasdemir PS, Guvenal T, Ozcakir HT, Koyuncu FM, Dinc Horasan G, Erkan M, et al. Comparison of subcuticular suture materials in cesarean skin closure. Surg Res Pract 2015;2015:141203.

W Alfouzan A, Fadhli N, Abdo W, Alali R. Surgical site infection following caesarean section in a general hospital in Kuwait: trends and risk factors. Epidemiology and infection 2019;147(287):1-5.

Dhar H, Al-Busaidi I, Rathi B, Nimre EA, Sachdeva V, Hamdi I. A study of post-caesarean section wound infections in a regional referral hospital, oman. Sultan Qaboos Univ Med J 2014;14(2):e211-7.

Shah P, Jamil R, Ahmed N, Ali L, Ambreen T. Risk factors for surgical site infection following cesarean section. j Muhammad Med Coll 2022;12(1):55-9.

Zejnullahu VA, Isjanovska R, Sejfija Z, Zejnullahu VA. Surgical site infections after cesarean sections at the University Clinical Center of Kosovo: rates, microbiological profile and risk factors. BMC Infect Dis 2019;19(1).



  • There are currently no refbacks.

Copyright (c) 2024. Aneesa Anam, Nazish Hayat, Aneela Rafiq, Sania Azmat, Mahrukh Azmat, Naveed Ullah, Hamza Azmat

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Gomal Medical College, Daraban Road, Dera Ismail Khan, Pakistan

ISSN: 1819-7973, e-ISSN: 1997-2067


Phone: +92-966-747373

Scimago Journal & Country Rank