One-layer closure of low segment transverse uterine incision by the Lembert technique

We evaluated the safety of closure of the Kerr incision by one-layer, continuous unlocked suture parallel to the incision. One hundred eighteen women who had undergone cesarean section were randomly selected and divided into two groups. Sixty-three women were in the study group. The uterine incisions of 55 women in the control group were closed by two continuous layers of suture, with the first layer locked. In both groups, number 1 polyglactin 910 (Vicryl) was used as suture material. Operating time, percent hematocrit decrease from before the operation to postoperative day 2, postoperative complications, and the time spent at hospital were the parameters compared. In no outcome measures was the two-layer closure technique found to be superior to the one-layer technique. We recommend one-layer closure with continuous unlocked suture parallel to the cut edges (Lembert stitch) in cesarean section with a low segment transverse uterine incision.