OBJECTIVE: We sought to compare postoperative pain according to the skin closure method (subcuticular sutures vs staples) after an elective term cesarean section. STUDY DESIGN: A randomized controlled trial of 101 women was performed. Women were randomly assigned to subcuticular sutures or staples. Operative technique and postoperative analgesia were standardized. Stratification was used for primary vs repeat cesareans. Analog pain and satisfaction scales ranging from 0-10 were completed at postoperative days 1 and 3, and at 6 weeks postoperatively. A digital photograph of the incision was taken at 6 weeks postoperatively and evaluated by 3 independent blinded observers. RESULTS:Pain at 6 weeks postoperatively was significantly less in the staple group (0.17 vs 0.51; P = .04). Operative time was shorter in that group (24.6 vs 32.9 minutes; P < .0001). No difference was noted for incision appearance and women's satisfaction. CONCLUSION: Staples are the method of choice for skin closure for elective term cesareans in our population.
RCT Entities:
OBJECTIVE: We sought to compare postoperative pain according to the skin closure method (subcuticular sutures vs staples) after an elective term cesarean section. STUDY DESIGN: A randomized controlled trial of 101 women was performed. Women were randomly assigned to subcuticular sutures or staples. Operative technique and postoperative analgesia were standardized. Stratification was used for primary vs repeat cesareans. Analog pain and satisfaction scales ranging from 0-10 were completed at postoperative days 1 and 3, and at 6 weeks postoperatively. A digital photograph of the incision was taken at 6 weeks postoperatively and evaluated by 3 independent blinded observers. RESULTS:Pain at 6 weeks postoperatively was significantly less in the staple group (0.17 vs 0.51; P = .04). Operative time was shorter in that group (24.6 vs 32.9 minutes; P < .0001). No difference was noted for incision appearance and women's satisfaction. CONCLUSION: Staples are the method of choice for skin closure for elective term cesareans in our population.
Authors: Marco Milone; Mario Musella; Paola Maietta; Paolo Bianco; Caterina Taffuri; Giuseppe Salvatore; Francesco Milone Journal: Surg Today Date: 2014-09 Impact factor: 2.549
Authors: Dana Figueroa; Victoria Chapman Jauk; Jeff M Szychowski; Rachel Garner; Joseph R Biggio; William W Andrews; John Hauth; Alan T N Tita Journal: Obstet Gynecol Date: 2013-01 Impact factor: 7.661