Evaluating Post-Cesarean Wound Healing and Scar Outcomes with Subcuticular Closure

A recent observational study from January 2023 to March 2024 assessed postoperative outcomes in women undergoing cesarean section, focusing on pain, wound complications, and scar appearance using absorbable Monocryl 3-0 subcuticular sutures for skin closure. Among 75 enrolled cases, the average time to skin closure was under 5 minutes, with mean pain score of 5.05±1.45 on postoperative day 5, most cases reporting mild to moderate pain. At 6 weeks, wound complications were low, with seroma (6%), infection (3.3%), dehiscence (3.3%), and hypertrophic scarring (2%) observed in a small proportion of patients. Scar assessment using the POSAS scale showed favorable cosmetic outcomes, with mean patient and observer scores of 6.13 and 6.17, respectively. These findings underscore the clinical viability of subcuticular suturing in cesarean wound management for optimal healing and aesthetic outcomes. However, to validate these results, larger multicenter studies with standardized outcome measures and extended follow-up are warranted to improve generalizability and clinical guidance.

Source: Kaur, S., &Pahwa, S. (2025). Monocryl 3-0 subcuticular in abdominal skin closure in cesarean sections. Indian Journal of Obstetrics and Gynecology Research, 12(1), 84–89. https://doi.org/10.18231/j.ijogr.2025.016