[The single-layer uterine suture in cesarean section. A comparative study].

Caesarean section had to be carried out in 297 cases (4.9 per cent) out of 6064 births (infant mortality 0.44 per cent). A comparison between 96 Caesarean sections with a one-layer suture of the myometrium (32 per cent) and 201 Caesarean sections with a two-layer suture (68 per cent) clearly shows less morbidity (19 per cent vs. 37 per cent) in case of a one-layer uterus suture. In those cases the postoperative loss of blood, the involution of the uterus and the healing of the scar are also more favourable. Afebrile courses clearly predominate in one-layer sutures (92 per cent to 76 per cent in two-layer sutures). Most important of all are the ability and experience of the surgeon, not the use of antibiotica.