Surgical Staples versus Absorbable and Non-Absorbable Subcuticular Suture for Skin Closure in Caesarean Sections: An Interventional Randomized Controlled Clinical Trial

Abstract

Cesarean delivery is the most common major surgical procedure performed elsewhere. Currently, approximately 15% of pregnant women worldwide deliver by cesarean sections, and this prevalence is on the rise. Given these trends, cesarean wound complications, such as disruption or infection remains an important cause of post-cesarean morbidity at considerable costs to the patient and health system. The skin is typically closed with surgical staples or sutures after cesarean delivery. Until now, there has been little evidence regarding the best cesarean skin closure material. It has been postulated that sutures act as a foreign body and damage tissue leading to increased infections. Prolene ®; is a synthetic, monofilament, non-absorbable polypropylene suture. Its advantages include minimal tissue reactivity, durability and less infection. Disadvantages include fragility, high plasticity and high expense. Vicryl ®; (polyglactin 910) is an absorbable, synthetic, usually braided suture. Its advantages include strength and better cosmoses. Disadvantages include low absorption by hydrolysis with more tissue reactivity and infection. Staple is made of nonbiodigradable titanium; its advantage is that it is easy to use & faster for closing wounds. Disadvantages include more cost & more surface tension.