Traditional epidermal repairs with running or simple interrupted sutures are being rethought.
Approximately one third of pregnant women in the U.S. have a cesarean delivery. To compare the risks for adverse effects related to wound closure after this procedure, investigators enrolled 32 women who had epidermal closure with subcutaneous sutures on one side of their incision and staples on the other side. Where the subcutaneous fat layer was more than 2.5 cm deep, subcutaneous 3.0 polyglactin 910 sutures (e.g., Vicryl) preceded the epidermal repairs.
At 6 months, more women preferred the scar on the stapled side (odds ratio, 2.55; 95% confidence interval: 1.18–5.52), as did one of two blinded plastic surgeon raters.
Reviewing Author
DisclosuresConsultant / Advisory boardAmway
Editorial boards JAMA Dermatology; Dermatologic Surgery; Journal of Cosmetic Dermatology; Lasers in Medical Science; Skin Therapy Letter
Leadership positions in professional societies American Academy of Dermatology (Chair, Health Care Finance Committee); American College of Mohs Surgery (Board of Directors); American Society for Dermatologic Surgery (Board of Directors)
DisclosuresConsultant / Advisory boardAmway
Editorial boards JAMA Dermatology; Dermatologic Surgery; Journal of Cosmetic Dermatology; Lasers in Medical Science; Skin Therapy Letter
Leadership positions in professional societies American Academy of Dermatology (Chair, Health Care Finance Committee); American College of Mohs Surgery (Board of Directors); American Society for Dermatologic Surgery (Board of Directors)