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Related Experiment Video

Updated: May 18, 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

Techniques and materials for skin closure in caesarean section.

A Dhanya Mackeen¹, Vincenzo Berghella, Mie-Louise Larsen

¹Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Jefferson Medical College of Thomas JeffersonUniversity, Philadelphia, Pennsylvania, USA.

The Cochrane Database of Systematic Reviews

|September 14, 2012

Summary

Comparing skin closure methods for caesarean section, staples and sutures show similar wound infection rates. However, staples may increase skin separation risk if removed early, necessitating reclosure.

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Area of Science:

Obstetrics and Gynecology
Surgical Techniques
Wound Healing

Background:

Caesarean section is a prevalent surgical procedure with varied approaches to skin closure.
Current practices lack standardized techniques and materials for optimal wound healing.
Identifying the best skin closure methods is crucial for improving maternal outcomes.

Purpose of the Study:

To evaluate and compare the maternal and operative outcomes of different skin closure techniques and materials used in caesarean sections.

Main Methods:

A systematic review of randomized controlled trials was conducted.
Searched the Cochrane Pregnancy and Childbirth Group's Trials Register for relevant studies.
Data extraction and analysis were performed by two independent reviewers.

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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

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Last Updated: May 18, 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

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Main Results:

Non-absorbable staples and absorbable subcutaneous sutures demonstrated comparable rates of wound infection and overall complications for Pfannenstiel incisions.
Staples were associated with a higher risk of skin separation and reclosure compared to absorbable subcutaneous sutures, particularly when removed by postpartum day four.
Variability in the definition of skin separation across studies complicates direct comparisons.

Conclusions:

No definitive evidence supports a specific skin closure method as superior after caesarean section.
Staples and sutures yield similar results regarding wound infection, pain, and cosmetic appearance.
Early staple removal (day three) increases the likelihood of wound dehiscence and the need for reclosure compared to absorbable sutures.