Study finds sutures cause fewer complications than staples with cesarean deliveries

Feb 04, 2010

In a study to be presented today at the Society for Maternal-Fetal Medicine's (SMFM) annual meeting, The Pregnancy Meeting, in Chicago, researchers will present findings that there were less complications for women, after having a cesarean delivery, if sutures were used instead of staples to close the wound.

When Suzanne Basha, M.D. began her career as an obstetrician/gynecologist, she was surprised to find nothing in the literature that provided evidence about which method was better to close a wound after a cesarean.

"It seemed to me that I was seeing more patients return with complications after a cesarean birth when staples were used instead of sutures but I couldn't find any studies that supported a recommendation for the use of either method," Basha said.

Basha and her colleagues at the Lehigh Valley Health Network in Allentown, Pa., conducted a study of 425 patients who were randomized. Women undergoing cesarean delivery in labor as well as scheduled cesarean delivery were eligible. Surgical and postpartum care was otherwise at the discretion of the provider. Wound complication data was complete for 98% of subjects (219 suture and 197 staples) and included wound separation, , , need for a wound-related physician visit, and readmission. Data were collected via telephone interview two to four weeks postoperatively by a single investigator.

Maternal demographic data was similar in both groups. Use of staples resulted in a higher wound separation rate (16.8 v. 4.6%, p< 0.001), higher composite wound complication rate (21.8 v. 9.1%, p< 0.001), and increased post-operative physician visits (36.0 v. 10.6%, p< 0.001); these associations persisted after adjusted analysis. staple closure was associated with a more than four-fold increased risk of wound separation (adjusted or 4.66, 95%ci 2.07, 10.52, p< 0.001). median operative time was eight minutes shorter in the staple group (49 vs. 57 min p< 0.0001).

The study demonstrates that the use of staples for cesarean delivery closure is associated with an increased risk of wound complications and post-operative physician visits. Subcuticular suture may therefore be the preferred method of skin closure for cesarean delivery.

Explore further: Allergan to cut 1,500 employees in restructuring (Update)

Provided by Society for Maternal-Fetal Medicine

not rated yet
add to favorites email to friend print save as pdf

Related Stories

Artificial skin system can heal wounds

Dec 20, 2007

A new study in Artificial Organs tested the effects of a wound dressing created with hair follicular cells. The findings reveal that skin substitutes using living hair cells can increase wound healing.

Recommended for you

British Lords hold ten-hour debate on assisted dying

Jul 19, 2014

Members of Britain's unelected House of Lords spent almost ten hours on Friday discussing whether to legalise assisted dying, in an often emotional debate putting the question back on the agenda, if not on the statute books.

AbbVie, Shire agree on $55B combination

Jul 18, 2014

The drugmaker AbbVie has reached a deal worth roughly $55 billion to combine with British counterpart Shire and become the latest U.S. company to seek an overseas haven from tax rates back home.

Safety problems at US germ labs acknowledged

Jul 16, 2014

(AP)—The director of the U.S. Centers for Disease Control and Prevention acknowledged Wednesday that systemic safety problems have for years plagued federal public health laboratories that handle dangerous ...

User comments : 0