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Related Experiment Videos

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
PubMed
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.

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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.

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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.