Too close to call: uterine closure technique at caesarean section.

Abstract

As caesarean section rates around the world rise, attention has begun to turn to the impact of variations in surgical technique, particularly their effect on post-operative recovery and risk of future complications. A common surgical variation is either a single- or double-layer uterine closure. When assessing immediate and short-term outcomes both methods appear similarly effective (Dodd et al. Cochrane Database Syst Rev. 2014 Jul 22;(7):CD004732.). The analysis of longer-term sequelae for women following caesarean section may provide a more nuanced understanding of the impacts of varying surgical techniques to better inform whether there is an optimal method for uterine closure.