Metrorrhaphy: Suturing the Uterine Incision After Cesarean Delivery

Metrorrhaphy is the surgical closure of the uterine incision—specifically a vertical (classical) incision on the anterior uterine body—after cesarean delivery. It is also performed during cesarean hysterectomy and hysterotomy. The term derives from Greek metra (uterus) + rhaphy (suturing). Proper layered closure (endometrium, myometrium, serosa) is critical to prevent uterine rupture in future pregnancies.