Comparison of Subcuticular Non absorbable Suture and staples in Cesarean Skin Closure: A Randomized Controlled

Abstract

Many methods are available to the surgeon for apposition of wounds, including the use of non-suture materials (e.g., staples, adhesives, and clips) as well as a variety of suture materials and methods. The ideal closure for surgical incisions should be fast and easy to perform, provide optimal wound apposition with sufficient but not excessive tension, and offer a satisfactory cosmetic result for the surgeon and the patient. Conflicting evidence exists regarding the ideal method of skin closure following abdominal surgery. Choice of skin closure according to experience and the patients clinical presentation to surgery. The current study aimed on assessing cesarean wound complication after skin closure with surgical staples compared with no absorbable subcuticular suture. The study was a prospective randomized controlled clinical trial carried on262womenpresented to Ain Shams University Maternity Hospital, and scheduled for caesarean delivery in the period from March 2016 till September 2016. A total of two hundred sixty two women were randomly divided into subcuticular group (n=131) and stapler group (n=131) according to skin closure at cesarean