OBJECTIVE: We aimed to compare the rates of wound separation (WS) and surgical site infection (SSI) after cesarean delivery (CD) by a single surgeon. Pfannenstiel skin incision (PSI) was closed with Dermabond, staples, or suture. STUDY DESIGN: Retrospectively all women having CD via PSI were identified. WS and SSI rates with Dermabond were compared with other two techniques. RESULTS: Of 239 CDs performed, 88% (n = 211) were available for postpartum evaluation. The PSI was closed with Dermabond in 85 (40%), staples in 76 (36%), and suture in 50 (24%). Overall WS rate was 7%; with Dermabond, it was 5% versus 13% with staple (p = 0.090) and 2% with suture (p = 0.651). Post hoc calculation suggests a randomization of 4325 women is needed to determine if Dermabond has one-third less wound complication than suture. CONCLUSION: For the PSI closure, Dermabond may be a useful alternative skin closure device, though a randomized trial is warranted. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
OBJECTIVE: We aimed to compare the rates of wound separation (WS) and surgical site infection (SSI) after cesarean delivery (CD) by a single surgeon. Pfannenstiel skin incision (PSI) was closed with Dermabond, staples, or suture. STUDY DESIGN: Retrospectively all women having CD via PSI were identified. WS and SSI rates with Dermabond were compared with other two techniques. RESULTS: Of 239 CDs performed, 88% (n = 211) were available for postpartum evaluation. The PSI was closed with Dermabond in 85 (40%), staples in 76 (36%), and suture in 50 (24%). Overall WS rate was 7%; with Dermabond, it was 5% versus 13% with staple (p = 0.090) and 2% with suture (p = 0.651). Post hoc calculation suggests a randomization of 4325 women is needed to determine if Dermabond has one-third less wound complication than suture. CONCLUSION: For the PSI closure, Dermabond may be a useful alternative skin closure device, though a randomized trial is warranted. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.