PMID- 24816689
OWN - NLM
STAT- MEDLINE
DCOM- 20141211
LR  - 20181202
IS  - 1432-0711 (Electronic)
IS  - 0932-0067 (Linking)
VI  - 290
IP  - 4
DP  - 2014 Oct
TI  - A randomized controlled trial comparing cosmetic outcome after skin closure with 
      'staples' or 'subcuticular sutures' in emergency cesarean section.
PG  - 655-9
LID - 10.1007/s00404-014-3274-9 [doi]
AB  - OBJECTIVE: To compare staples with subcuticular sutures for skin closure in 
      emergency Cesarean sections (CS). METHODS: One hundred and thirty women 
      (undergoing emergency CS without previous abdominal delivery) were randomly 
      assigned to either staples or subcuticular skin closure (monocryl 3-0). Primary 
      outcome of the study was cosmetic outcome [as assessed by patient and independent 
      observer: Patient Scar Assessment Scale (PSAS) and Observer Scar Assessment Scale 
      (OSAS), respectively], 6 weeks post-operative. Secondary outcomes were wound 
      complications, operating time, post-operative pain (visual analogue scale day 3 
      post-operative and patient assessment of pain in scar 6 weeks post-operative), 
      and duration of hospital stay. RESULTS: 112 women were available for evaluation 
      of scar 6 weeks post-operative. Cosmetic result of staples was significantly 
      better than subcuticular sutures (PSAS and OSAS: p value 0.022 and 0.000, 
      respectively), with significantly lesser duration of surgery (24 vs. 32 min: p 
      value 0.000) and comparable post-operative pain (pain on day 3 and 6 weeks 
      post-operatively: p value 0.474 and 0.179, respectively) and wound complications 
      (p value 0.737). However, duration of stay in hospital was increased (6 vs. 
      3 days: p value 0.001). CONCLUSION: Staples are the method of choice for skin 
      closure in emergency CS as they are significantly better than subcuticular 
      sutures with respect to cosmesis and duration of surgery. Post-operative pain and 
      wound complications are comparable in two groups. However, staples are associated 
      with significantly increased duration of hospital stay. Trial registered in 
      clinical trial registry CTRI: REF/2013/05/005087.
FAU - Sharma, Chanderdeep
AU  - Sharma C
AD  - Dr RPGMC Kangra at Tanda (H.P.), Set No. 112, Vivekanand Hostel, Kangra, 176001, 
      HP, India, cdsharma2006@gmail.com.
FAU - Verma, Ashok
AU  - Verma A
FAU - Soni, Anjali
AU  - Soni A
FAU - Thusoo, Meghna
AU  - Thusoo M
FAU - Mahajan, V K
AU  - Mahajan VK
FAU - Verma, Suresh
AU  - Verma S
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20140511
PL  - Germany
TA  - Arch Gynecol Obstet
JT  - Archives of gynecology and obstetrics
JID - 8710213
SB  - IM
MH  - Adult
MH  - Cesarean Section/*methods
MH  - Cicatrix/*pathology
MH  - *Esthetics
MH  - Female
MH  - Humans
MH  - India
MH  - Length of Stay/statistics & numerical data
MH  - Operative Time
MH  - Pain, Postoperative/etiology
MH  - Pregnancy
MH  - Single-Blind Method
MH  - *Surgical Stapling
MH  - Surgical Wound Infection/etiology
MH  - *Suture Techniques
MH  - Visual Analog Scale
MH  - Young Adult
EDAT- 2014/05/13 06:00
MHDA- 2014/12/17 06:00
CRDT- 2014/05/13 06:00
PHST- 2014/01/02 00:00 [received]
PHST- 2014/04/25 00:00 [accepted]
PHST- 2014/05/13 06:00 [entrez]
PHST- 2014/05/13 06:00 [pubmed]
PHST- 2014/12/17 06:00 [medline]
AID - 10.1007/s00404-014-3274-9 [doi]
PST - ppublish
SO  - Arch Gynecol Obstet. 2014 Oct;290(4):655-9. doi: 10.1007/s00404-014-3274-9. Epub 
      2014 May 11.