G N Frishman1, T Schwartz, J W Hogan. 1. Department of Obstetrics and Gynecology, Women & Infants' Hospital, Brown University, Providence, Rhode Island, USA.
Abstract
OBJECTIVE: To compare skin closure with staples and subcuticular suture. STUDY DESIGN:Obstetric patients undergoing cesarean section with a Pfannenstiel incision were prospectively randomized to skin closure with staples or subcuticular suture. Pain and cosmesis were assessed postoperatively. RESULTS: Patients reported significantly less pain following subcuticular closure at both the time of discharge (P < or = .01) and the postoperative visit (P < or = .002). Incisions closed with subcuticular suture were found to be more cosmetically attractive by both patients (P = .04) and physicians (P = .01) at the postoperative visit. CONCLUSION:Pfannenstiel skin incisions closed with subcuticular closure following cesarean section result in less postoperative discomfort and are more cosmetically appealing at the six-week postoperative visit as compared to incisions closed with staples.
RCT Entities:
OBJECTIVE: To compare skin closure with staples and subcuticular suture. STUDY DESIGN: Obstetric patients undergoing cesarean section with a Pfannenstiel incision were prospectively randomized to skin closure with staples or subcuticular suture. Pain and cosmesis were assessed postoperatively. RESULTS:Patients reported significantly less pain following subcuticular closure at both the time of discharge (P < or = .01) and the postoperative visit (P < or = .002). Incisions closed with subcuticular suture were found to be more cosmetically attractive by both patients (P = .04) and physicians (P = .01) at the postoperative visit. CONCLUSION: Pfannenstiel skin incisions closed with subcuticular closure following cesarean section result in less postoperative discomfort and are more cosmetically appealing at the six-week postoperative visit as compared to incisions closed with staples.
Authors: Lindsay M Kuroki; Mary M Mullen; L Stewart Massad; Ningying Wu; Jingxia Liu; David G Mutch; Matthew A Powell; Andrea R Hagemann; Premal H Thaker; Carolyn K McCourt; Akiva P Novetsky Journal: Obstet Gynecol Date: 2017-07 Impact factor: 7.661
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