Features | Partner Sites | Information | LinkXpress
Sign In
Samsung
Ampronix
Schiller

Sutures Best Staples After Cesarean Section

By HospiMedica International staff writers
Posted on 24 Jul 2014
Cesarean section (CS) incision wounds closed with sutures show a lower rate of complications compared with wounds closed with staples, according to a new study.

Researchers at the Geisinger Health System (Danville, PA, USA), Yale-New Haven Hospital (New Haven, CT, US), and other institutions conducted a prospective, randomized clinical trial involving 746 women undergoing CS delivery at 23 weeks of gestation or greater. The women were randomized to closure of the low-transverse skin incision with suture (376 patients) or staples (370 patients), after stratifying by body mass index (BMI) and primary compared with repeat CS delivery. The primary outcome was incidence of wound complications.

The results showed that 58 women (7.8%) had wound complications, which were predefined as a composite of infection, hematoma, seroma, separation of one cm or longer, or readmission for wound complications. Of these, 4.9% were in the suture group and 10.6% in the staple group. The difference was largely the result of the incidence of wound separation in the respective groups (1.6% in the suture group compared with 7.4% in the staple group). The study was published in the June 2014 issue of Obstetrics and Gynecology.

“There has been ongoing debate in the field about the use of sutures versus staples. C-sections are a common procedure in the United States, and yet we still haven't established the best way to close these incisions,” said senior author Vincenzo Berghella, MD, director of the Society for Maternal-Fetal Medicine (Washington DC, USA). “Based on these results, we recommend that C-section incisions be closed with stitches rather than staples.”

In the United States, 33% of all deliveries are performed by CS; in China, the rate is as high as 46%. A CS delivery is most commonly performed through a suprapubic low-transverse skin incision. At the end of the operation, the skin incision is typically closed with the placement of either a continuous subcutaneous suture that dissolves over time or multiple metal staples that are removed at a later date. While recent studies demonstrate suture superiority, most surgeons still use staples due to lower cost and faster procedure time.


Related Links:

Geisinger Health System

Yale-New Haven Hospital

Society for Maternal-Fetal Medicine




Dunlee
CardioComm Solutions
Anetic Aid

Channels

Critical Care

view channel
Image: Solid microneedles coated with Bevacizumab (syringe for scale) (Photo courtesy of the Georgia Institute of Technology).

Tiny Needles Reshape Major Eye Disease Treatment

Novel microneedles allow dramatic dose sparing when compared to subconjunctival and topical administration of drugs directly into the eye. Developed by researchers at the Georgia Institute of Technology... Read more

Women's Health

view channel

Women with PTSD Face Higher Pregnancy Risk

Suffering from post-traumatic stress disorder (PTSD) significantly increases a pregnant woman's risk of premature birth, according to a new study. Researchers at Stanford University (CA, USA) conducted a study to identify antenatal PTSD status and spontaneous preterm delivery in a retrospective cohort (2000-2012).... Read more

Business

view channel

Global Wound Care Market Rife With Opportunity

Strong relationships with end users and an effective post sales service strategy must be a priority for wound care companies. These are the latest findings of Frost & Sullivan (Frost; London, United Kingdom), an international market research firm. The global wound care market is at a growth stage, driven by the increasingly... Read more
 

Events

26 Nov 2014 - 28 Nov 2014
01 Dec 2014 - 05 Dec 2014
Copyright © 2000-2014 Globetech Media. All rights reserved.