الفهرس 
Mohmed Sayed AliOnly 14 pages are availabe for public view
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Abstract
Caesarean section is one of the most commonly performed abdominal operations on women in most countries of the world. Its rate has increased markedly in recent years, and is about 20–25% of all child-births in most developed countries (Menacker and Curtin, 2001).
Sutures are a contributory factor in infection; in fact, 66% of SSIs are related to the incision. Sutures may create a setting in which low numbers of bacteria proliferate while sequestered from host defenses. In the presence of sutures, only 100 colony-forming units per milligram are necessary to produce infection. Various bacteria may contaminate not only the tissue in the surgical wound, but also the actual suture material (Mingmalairak, 2013).
There are no agreed standards on operative techniques and materials to use. There is no conclusive evidence about how the skin should be closed after a caesarean section. Questions regarding the best closure technique, material used and the outcome associated with each remain unanswered. The appearance and strength of the scar following caesarean section is important to women and the choice of technique and materials should be made by women in consultation with their obstetrician based on the limited information that is currently available. There is not enough evidence to say whether any particular technique for closing the abdominal wall during a caesarean section is better than the others (Anderson and Gates, 2004).
The aim of this study to determine the surgical site infection rate and the patient’s satisfaction for absorbable suture versus nonabsorbable suture in skin closure at cesarean delivery in women with gestational diabetes.
Results of this study demonstrated that the rate of women satisfaction for scar appearance was higher in group I (absorbable suture group) than group II (Non absorbable suture group).
Skin closure time: the mean skin closure time was slightly higher in women of group II when compared to group I, but the difference was statistically non-significant.
The difference between the two groups as regarding the delayed wound complication (collection and wound dehiscence) at seven days, one month postoperatively was significant, however this difference was not significant regarding inflammation.
The use of subcuticular stitch using absorbable suture (polyglactin910) was associated with higher rate of SSI comparing of non absorbable suture (polyprolene) in skin closure of C.S in gestational diabetic patients.
The rate of pain two days postoperatively was slightly higher in women of group II when compared to group I, the difference was statistically significant. There were no significant differences between women of both groups regarding pain seven days, one month postoperatively.