Comparing the Effect of Monofilament and Braided Suture on Pregnancy Loss Rates in Women Requiring Vaginal Cervical Cerclage

Background: Preterm birth affects 11% of pregnancies and can result in serious complications. Cervical insufficiency is a frequent reason for preterm birth and also can be treated with vaginal cervical cerclage using different types of sutures. Observational studies suggest that monofilament sutures may decrease pregnancy loss compared to braided sutures, but randomized controlled studies are needed to confirm this finding.
Aim of the work: The research aims to assess the efficacy of monofilament versus braided sutures in preventing miscarriage for women undergoing vaginal cervical cerclage.
Patients and Methods: This trial was done in Obstetrics and Gynecology Department, El-Hussein University Hospital, from January 2020 to November 2022. There were 201 participants in the study. Individuals were monitored in the obstetrics and gynecological clinics at El-Hussein University Hospital, Faculty of Medicine, Al-Azhar University. Females with a singleton pregnancy and a cervical cerclage indicator were split evenly amongst receiving a monofilament or braided suture. Pregnancy loss was the fundamental result; secondary outcomes included maternal and neonatal outcomes. Surgeons were permitted to employ any method they found most effective.
Results: No significant variances were present in baseline characteristics, pregnancy and maternal outcomes, and neonatal outcomes between the two study groups. However, the Monofilament suture group had significantly more complications with cerclage removal.
Conclusion: Both monofilament and braided sutures are effective and safe procedures with minimal side effects and complications. Although monofilament suture may cause more difficult removal and removal complications, it remains a viable option for treating cervical insufficiency.