Year: 2026
Type: article
Study design: Observational Study
Abstract: Aim The uterine closure technique during cesarean section (CS) significantly affects healing and niche formation; however, there is still no consensus on the optimal method. We aimed to investigate the frequency of techniques used and the factors that affect their use. Methods An anonymous Turkish online survey with 12 questions was sent to available obstetricians in Türkiye. The primary response of interest was the type of uterine closure technique favored in CS. Secondary responses of interest encompassed the formation of a bladder flap, closure of the peritoneum, rectus abdominis muscles, and subcutaneous tissues. The findings were also categorized by years of practice and affiliations. Results 466 physicians filled out the survey. The primary approach utilized was the locked single layer at 75%, whilst the least preferred technique was the locked double layer at 6%. Also, 55.7% of physicians construct a bladder flap, whereas 80.8% routinely close the parietal peritoneum. 86% of surgeons typically suture the subcutaneous tissues when the thickness exceeds 2 cm. No significant difference was found in the frequency of uterine closure techniques between senior specialist physicians and less experienced obstetricians. Also, the most preferred technique was the locked layer in all affiliations. Conclusion We showed that the predominant strategy for uterine closure in cesarean sections is the locked single-layer method. Moreover, most doctors seal the parietal peritoneum and stitch the subcutaneous tissue if it is thick.
DOI: 10.4328/acam.22978
Institutions: Lokman Hekim Üniversitesi, Van Yüzüncü Yıl Üniversitesi
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7204196668