A randomized, controlled trial found better wound healing with sutures.
To compare the rates of complications after wound closure with suture and with staples after cesarean delivery, these authors conducted a randomized clinical trial of 746 women who delivered via low-transverse incisions at three centers. Patients were stratified by body-mass index.
Staples were removed at 4 to 10 days, and suture closure employed subcuticular continuous 4.0 poliglecaprone (e.g., Monocryl) or polyglactin (e.g., Vicryl). Of the suture group, 4.9% had complications, compared with 10.6% of those who had staples (odds ratio, 0.43; 95% confidence interval, 0.23–0.78). Wound separation in particular was more common in the staple group (7.4% vs. 1.6%; OR 0.20; 95% CI, 0.07–0.51). Suturing took considerably more time than stapling, a…
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)