Safety and efficacy of knotless barbed suture in cesarean section using postpartum ultrasound: a retrospective cohort study

Background: While speed, safety, and efficacy are necessary in the operation of cesarean section (CS), a number new devices have been introduced to support technique. This retrospective study was conducted assess usability safety knotless barbed suture, compared conventional method, for closure uterine myometrium during section. Methods: Patients who underwent delivery at Korea University Ansan Hospital between August 2018 December 2019 were reviewed. Surgical outcomes including time, operating estimated blood loss, sonographic results residual myometrial thickness site incision 6 8 weeks after analyzed. Results: Out total 78 women, 44 patients had suture 34 suture. Compared time significantly reduced (p = 0.012). Operative loss operation, hemoglobin difference on third operative day, cases with transfusion, postpartum infection, bleeding demonstrated no significant differences two groups. At transvaginal ultrasound revealed scar thickness. Conclusion: Knotless resulted shorter increased rate perioperative complications. Our work supports that can be effectively used