Title

Efficacy of knotless barbed versus conventional sutures for uterine closure during cesarean section: A prospective comparative study

Authors

Akanksha Lamba Thora^1,*, Ankita Pawar¹ & Anupama Dave²

Affiliation

¹Department of Obstetrics and Gynaecology, MTH Hospital, Indore Madhya Pradesh, India; ²Department of Obstetrics and Gynaecology, MTH Women's Hospital, MGM Medical College, Indore, Madhya Pradesh, India; *Corresponding author

Email

Akanksha Lamba Thora - E-mail: dr.akanksha2709@gmail.com

Ankita Pawar - E-mail: ankitapawar131@gmail.com
Anupama Dave - E-mail: anupamadave10@gmail.com

Article Type

Research Article

Date

Received November 15, 2025; Revised December 15, 2025; Accepted December 15, 2025, Published December 15, 2025

Abstract

Cesarean section is a typical surgical practice whereby a good uterine closure is essential for maternal outcomes. Conventional suturing involves knot-tying, which may take long and may weaken the integrity of tissues. This study involves a comparison between knotless barbed sutures (KBS) and the use of conventional sutures (CS) to close the uterus in case of cesarean delivery. In an 80-women prospective comparative trial, KBS decreased the uterine incision closure time (8.58 ± 1.18 min vs. 10.18 ± 1.81 min, p=0.002) and total closure time (27.77 ± 4.73 min vs. 30.95 ± 3.08 min, p=0.001) significantly. The extra hemostatic sutures required were significantly reduced in KBS (5% vs. 27.5, p=0.006). The thickness of the scar at 6 weeks (4.23 ± 0.90 mm vs. 3.54 ± 0.60 mm, p<0.001), was larger in the KBS. Knotless barbed sutures have considerable benefits on efficiency of operations, hemostasis and tissue healing of cesarean uterine closure.

Keywords

Cesarean section, Conventional suturing, knotless barbed sutures

Citation

Thora et al. Bioinformation 21(12): 4929-4933 (2025)

Edited by

Vini Mehta

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.