Techniques and materials for skin closure in caesarean section
F Alderdice1, D McKenna, J Dornan
1School of Nursing and Midwifery, The Queens University of Belfast, Royal Maternity Hospital, Institute of Clinical Science, Belfast, Northern Ireland, Ireland, BT12 6BJ. f.a.alderdice@qub.ac.uk
The Cochrane Database of Systematic Reviews
|June 14, 2003
Summary
Skin closure after caesarean section lacks a standard. Absorbable sub-cuticular sutures may offer better cosmetic results and less pain than staples, though staples reduce operating time.
Area of Science:
- Obstetrics and Gynecology
- Surgical Techniques
- Wound Healing
Background:
- Caesarean section skin closure lacks a standardized approach.
- Various techniques (sub-cuticular stitch, interrupted stitch, staples) and materials are used.
- Evidence is needed to determine optimal methods for maternal outcomes.
Purpose of the Study:
- To compare the effects of different skin closure techniques and materials on maternal outcomes.
- To assess the impact on the time required for caesarean section.
Main Methods:
- Searched the Cochrane Pregnancy and Childbirth Group trials register (August 2002).
- Included randomized controlled trials comparing skin closure techniques in caesarean sections.
- Data extracted independently; two of three identified papers were excluded as not being randomized controlled trials.
Main Results:
- One small randomized controlled trial (66 women) was included.
- Staples significantly reduced operating time compared to absorbable sub-cuticular sutures.
- Sub-cuticular sutures resulted in less postoperative pain and better cosmetic outcomes.
Conclusions:
- No conclusive evidence exists for the best skin closure method after caesarean section.
- Optimal techniques and materials for caesarean skin closure remain undetermined.
- Patient preference, in consultation with obstetricians, should guide choices based on available data.
