Comparison of staples vs subcuticular suture in class III obese women undergoing cesarean: a randomized controlled trial

American Journal of Obstetrics and Gynecology
Mary N ZakiJennifer A McNulty

Abstract

Obesity is a risk factor for infectious morbidity and wound complications after cesarean delivery. There are currently insufficient data to determine optimal skin closure technique for cesarean delivery, specifically for those women with class III obesity, defined as a body mass index ≥40 kg/m2. We sought to compare stainless steel staples vs subcuticular suture for skin closure for cesarean delivery in class III obese women with body mass index ≥40 kg/m2. We conducted a randomized controlled trial at 2 teaching hospitals from 2015 through 2016 in which women with body mass index ≥40 kg/m2 undergoing cesarean delivery were randomly assigned to stainless steel staples or subcuticular suture skin closure. The primary outcome was composite wound complication defined as superficial or deep separation and infection occurring up to 6 weeks following delivery. Secondary outcomes included operative time, and patient pain and satisfaction scores. A total of 242 women were enrolled. In all, 119 in the staples group and 119 in the subcuticular suture group were analyzed. Maternal demographics and characteristics were similar in both groups. The composite wound complication frequency was 19.3% in the staples group and 17.6% in the subcutic...Continue Reading

Citations

Feb 14, 2019·Obstetrical & Gynecological Survey·Sarah K Shea, David E Soper
Oct 9, 2020·Obstetrics and Gynecology·Joshua D DahlkeDwight J Rouse
Oct 24, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Cynthia MaxwellMark Walker
Oct 24, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Cynthia MaxwellMark Walker
Feb 14, 2021·Journal of Clinical Medicine·Aneta Słabuszewska-JóźwiakBeata Sarecka-Hujar
Jan 17, 2021·American Journal of Obstetrics & Gynecology MFM·Rachel L RodelJordan H Perlow

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