So I posted summaries of several studies looking at single and double layer suturing techniques on a low transverse c-section incision. What does it mean?
The 2 articles that showed an increase in rupture rates used chromic catgut suturing material with a locking or continuous technique.
The articles that showed no difference in uterine rupture rates whether there was single or double layer varied in technique. However, overall, it appears that the best way to suture a uterus is using 0-Vicryl (polyglactin) with a non-running/noncontinuous/interrupted technique. Single or double layering probably doesn't matter.