Evaluation of surgical staples in cesarean section

Area of Science:

• Obstetrics and Gynecology
• Surgical Innovation
• Medical Devices

Background:

• Cesarean sections are common surgical procedures.
• Traditional suturing techniques carry risks of blood loss, infection, and prolonged recovery.
• Evaluating novel surgical tools is crucial for improving patient outcomes.

Purpose of the Study:

• To compare the efficacy and safety of Lactomer absorbable surgical staples versus standard techniques in cesarean sections.
• To assess the impact of absorbable staples on operative time, hemostasis, blood loss, postoperative anemia, endometritis, and hospital stay.

Main Methods:

• A comparative study involving 62 cesarean sections using Lactomer absorbable staples and 62 using standard techniques.
• Refinement of stapler application technique with experience, including the use of Allis' clamps for countertraction.
• Data collection on operative time, hemostasis, hemoglobin deficits, anemia rates, endometritis incidence, and hospital stay.

Main Results:

• Excellent uterine incision hemostasis was achieved, even with varicose veins.
• Significant reductions observed in hemoglobin deficits (2.16 to 1.31 gm/dl), postoperative anemia (29% to 6.4%), and endometritis (22.5% to 6.4%) in the stapled group.
• Hospital stay was reduced by an average of 2.1 days for patients receiving absorbable staples.

Conclusions:

• Lactomer absorbable surgical staples offer advantages in cesarean deliveries by reducing blood loss, infection rates, and hospital stay.
• The procedure demonstrated good hemostasis and improved postoperative recovery metrics.
• Surgeons' acceptance and proficiency with the absorbable stapler technique improved with experience.