Features | Partner Sites | Information | LinkXpress
Sign In
Schiller
Ampronix
Advantech Europe

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




ECR
Cincinnati Sub-Zero
Anetic Aid

Channels

Critical Care

view channel

Identification System Reduces Neonatal ICU Errors

A unique naming system reduces confusion and miscommunication in the neonatal intensive care unit (nICU), according to a new study. Developed by researchers at Montefiore Medical Center (New York, NY, USA), the naming system helps reduce near miss wrong-patient orders in the electronic medical record (EMR) by more clearly... Read more

Women's Health

view channel
Image: The Koala Toco disposable tocodynamometer (Photo courtesy of Clinical Innovations).

Disposable Dynamometer Measures Uterine Contractions

An innovative tocodynamometer utilizes air-charged technology to accurately measure uterine contractions. The Koala Toco is a single-use disposable tocodynamometer with no electronic components, making... Read more

Health IT

view channel

Doctors Claim EHRs Do Not Save Money or Time

A recent survey claims that 75% of physicians in the United States who use electronic health records (EHRs) say they are not cost- or time-effective, but do have value in terms of providing data. The Deloitte (New York, NY, USA) 2014 Survey examined US physicians’ current use and overall views of mobile health (mHealth)... Read more

Hospital News

view channel
Image: Aerial view of Fiona Stanley Hospital (Photo courtesy of the Government of Western Australia).

Fiona Stanley Hospital Opens in Southern Perth

Western Australia (WA) has officially opened its newest health care facility, the state's first new-build tertiary hospital project in more than 50 years. Fiona Stanley Hospital (FSH; Murdoch, Australia)... Read more

Business

view channel

Steris to Buy British Sterilization Services Provider Synergy Health

Steris (Mentor, OH, USA) will also shift is headquarters to a new, UK-based company, thus joining a growing list of companies that are trying to cut taxes by shifting their corporate domicile from the United States. Steris said the combined company, to be called Steris, will be incorporated in the United Kingdom, but... Read more
 
Copyright © 2000-2014 Globetech Media. All rights reserved.