Comparison of the effect of two types of surgical sutures, Vicryl and Chromic, on isthmocele formation in patients referred to the Kausar Medical Training Center in Qazvin in 2023

Articles in Press

Document Type : Original Article

Authors

1 Associate Professor, Qazvin University of Medical Sciences – Obstetrics and Gynecology Specialist –

2 Associate Professor of Obstetrics and Gynecology Department of Obstetrics and Gynecology, School of Medicine Kosar Teaching Hospital Qazvin University of Medical Sciences

3 Assistant Professor, Qazvin University of Medical Sciences – Obstetrics and Gynecology Specialist

10.22038/ijogi.2025.88239.6443

Abstract

Introduction: Cesarean section scar defect (isthmocele) is a common complication after cesarean section that can cause problems such as spotting and pelvic pain. Sutures and suture type play an important role in wound healing. This study aimed to compare the effect of two types of surgical sutures, Vicryl and chromic, on the formation of isthmocele after cesarean section.

Methods: This single-blind clinical trial was conducted on 170 women with singleton pregnancies who had no previous cesarean section history at Kowsar Hospital, Qazvin in 1402. Participants were randomly divided into two groups using chromic and Vicryl sutures to close the uterine incision. Three months after cesarean section, all women underwent vaginal ultrasound and the necessary information was recorded. Data analysis was performed using SPSS statistical software (version 24) and the t-test, Mann-Whitney, and chi-square tests. A p value of less than 0.05 was considered significant.

Findings: 96.1% of women who underwent cesarean section with Vicryl suture and 98.7% of women who underwent cesarean section with chromiuc suture developed isthmocele. Also, 3.1% of women who underwent cesarean section with Vicryl suture and 9.2% of women who underwent cesarean section with chromic suture developed spotting. Conclusion: The results of the present study showed that Vicryl suture can reduce complications in women, but in our study, no difference was observed in terms of isthmocele formation and its size between the use of chromic and Vicryl sutures.

Keywords: Vicryl - Catgut - Isthmocele - Spotting

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The Iranian Journal of Obstetrics, Gynecology and Infertility

Articles in Press, Accepted Manuscript
Available Online from 21 October 2025

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