Asian Research Journal of Gynaecology and Obstetrics

Non-suture Skin Closure Technique for Cesarean Section (Quek's Technique): A Case Series

Yek-Song Quek *

Columbia Asia Hospital Iskandar Puteri, Malaysia, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Malaysia.

Michelle Jia Ni Ling

Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Malaysia.

Bt. Hassan Jamiyah

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Malaya, Malaysia.

*Author to whom correspondence should be addressed.

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Abstract

Cesarean section (CS) is one of the most frequent abdominal procedures conducted in women worldwide. It is known that 5% of women who underwent CS would encounter wound complications. Several studies had been performed throughout the years to find the best option for skin closure in CS but to no avail, as none shows conclusive evidence. However, there is evidence showing that wound complications are reduced with the subcutaneous tissue closure technique. This case report is presenting a new non-suture technique of skin closure by opposing the skin using steri-strip after the adipose tissue is sutured, following a standard CS to eliminate any foreign materials to reduce bacterial entrapment and vascular disruption at the dermis layer thus reduce keloid formation.

Keywords: Cesarean section, non-suture technique, skin closure, wound complications, case report

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