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Related Experiment Video

Updated: Jun 25, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

A randomized study comparing skin closure in cesarean sections: staples vs subcuticular sutures.

Julie-Anne Rousseau¹, Karine Girard, Lucile Turcot-Lemay

¹Department of Obstetrics and Gynecology, Laval University, Quebec, QC, Canada.

American Journal of Obstetrics and Gynecology

|March 4, 2009

Summary

For cesarean sections, skin staples significantly reduce long-term postoperative pain compared to subcuticular sutures. Staples also shorten operative time without affecting incision appearance or patient satisfaction.

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Area of Science:

Obstetrics and Gynecology
Surgical Innovation
Patient Outcomes

Background:

Cesarean sections are a common surgical procedure.
Skin closure methods can impact postoperative pain and recovery.
Comparing subcuticular sutures and staples is crucial for optimizing patient care.

Purpose of the Study:

To compare postoperative pain between subcuticular sutures and skin staples for elective term cesarean section skin closure.
To evaluate operative time, incision appearance, and patient satisfaction based on closure method.

Main Methods:

A randomized controlled trial involving 101 women undergoing elective term cesarean sections.
Participants were randomized to either subcuticular sutures or skin staples.
Pain, satisfaction, and incision appearance were assessed at multiple postoperative time points.

Main Results:

The skin staple group reported significantly less pain at 6 weeks postoperatively compared to the subcuticular suture group (P = .04).
Operative time was significantly shorter for the skin staple group (P < .0001).
No significant differences were observed in incision appearance or patient satisfaction between the two groups.

Conclusions:

Skin staples are a preferred method for skin closure in elective term cesarean sections due to reduced long-term pain and shorter operative times.
This finding supports the use of staples for improving patient outcomes after cesarean delivery.
Further research may explore long-term cosmetic outcomes and cost-effectiveness.