Rezumat: Caesarean section is one of the most common abdominal
surgeries that do not benefit from a standard technique.
The short-term and long-term consequences of the intervention
depend on the technique used at each stage
of the procedure, the choice of method being essentially
influenced
by the knowledge of anatomical landmarks and
scientific evidence. The objective of our review is to provide
updated evidence-based guidance for surgical decisions
during caesarean delivery. We focused on the requirements
of the uterine closure at the time of caesarean section,
with emphasis on the woman’s reproductive desires. The
conventional double-layer and single-layer suturing are discussed
in this paper, with regard to full thickness healing of
the cut margins. The quality of the cut margins of the uterus
due to the process of labor on a prior scared uterus may lead
to the poor healing of the uterine wall and results in thinned
out scars. Cuvinte cheie: caesarean section, uterine closure, doublelayer/
single-layer suturing, thinning of the uterine wall