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Gynecologic Surgery

Cesarean Section

Cesarean section deliveries have increased by 50% since 1996, and as of 2007, over 32% of all deliveries in the US were C-sections.135 Currently, 1.3 million are performed each year in the US. Bacterial infections, injury to surrounding organs and post-surgical adhesions associated with C-sections can lead to serious complications impacting the short and long term recovery of the patient.

Protection starts with an absorbable adhesion barrier

Multiple studies have shown that a majority of post-cesarean adhesions form between the anterior uterine wall and the abdominal wall (see chart below).

Author Anterior Uterine/ Abdominal wall (fascia) Bladder flap/ Anterior Uterine
Morales, et al140 77% N/A
Tulandi, et al149 48-53% 26-35%
Lyell, et al134 27%* 12%*
INTERCEED AAB

Ethicon offers GYNECARE INTERCEED® Absorbable Adhesion Barrier for use in open gynecologic pelvic surgery, including C-sections. An adhesion barrier is used to reduce the incidence of postoperative pelvic adhesions after meticulous hemostasis is achieved. Based on the locations where adhesions are most likely to occur, the suggested application of GYNECARE INTERCEED Adhesion Barrier is an inverted T placement. Cut into two pieces, one layer is placed over the uterine incision and the other is placed perpendicular to the uterine incision, over the anterior uterine serosa.

Additionally, Ethicon supplies a wide range of products suitable for C-section closure including high-performing needles and absorbable and non-absorbable sutures available in a variety of materials, as well as Plus Antibacterial Sutures and DERMABOND ADVANCED® Topical Skin Adhesive for surgical incisions.

DERMABOND Advances

DERMABOND ADVANCED Adhesive – a unique formulation that provides patients with a triad of benefits when used in addition to sutures†,‡,1,117

  • Adds strength
  • Inhibits bacteria
  • Provides a flexible microbial barrier
Plus Antibacterial boxes

Plus Antibacterial Sutures – the only commercially available sutures with antibacterial protection.1,137,138,146,155

  • Provides strength through critical healing period
  • Protection against bacterial colonization of the suture by organisms commonly associated with surgical site infection

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Site References

  • * Non peritoneal closure group
  • Clinical significance is unknown
  • Effective against S. epidermidis, S. aureus, E. coli, Enterococcus faecium, Pseudomonas aeruginosa
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