Comparison of Intracuticular Suture Alone and With Skin Adhesive for Cesarean Delivery Scar Healing

This study looks at two different methods of closing the skin after a cesarean delivery: using only intracuticular sutures (stitches that are hidden under the skin) with a single thread, and using intracuticular sutures along with a biological adhesive material. The aim is to understand if one method leads to fewer skin scar complications than the other. The study also wants to find out which method results in better patient satisfaction, convenience, and scar healing and appearance. The study is important because both methods are commonly used, but there hasn't been a comparison between them yet. Women aged 18 and above who are having a planned cesarean delivery at the Hadassa medical center are eligible to participate. Participants will be randomly assigned to one of the two methods of skin closure. They will be asked to complete a questionnaire two days after the surgery. Six to eight weeks after the surgery, they will have an in-person check-up with their surgeon. At this check-up, they will fill out another questionnaire and have their scar appearance evaluated by the surgeon. The study will look at any skin complications, including superficial or deep infections, seroma (fluid build-up), skin opening, the need for antibiotics, and skin-related issues like rash, itching, and discharge.