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Evaluation of surgical staples in cesarean section.
- Source :
-
American journal of obstetrics and gynecology [Am J Obstet Gynecol] 1989 Sep; Vol. 161 (3), pp. 540-5; discussion 545-7. - Publication Year :
- 1989
-
Abstract
- Experience with Lactomer absorbable surgical staples (Auto Suture Poly CS 57 disposable surgical stapler) in 62 cesarean sections was compared with an equal number of operations performed with standard techniques. The technique of application of the stapler evolved with experience. Countertraction to staplers with Allis' clamps prevented uterine V incisions. Operative time was longer for the stapled suture group for primary cesarean sections, but was unchanged for repeat procedures. Excellent hemostasis of the uterine incision was achieved even when varicose sinusoidal veins were present. Significant reductions of hemoglobin deficits from 2.16 to 1.31 gm/dl, postoperative anemia from 29% to 6.4%, and endometritis from 22.5% to 6.4% occurred respectively in nonstapled and stapled groups. A reduced hospital stay, shortened by 2.1 days, saved each patient +F42950. Blood loss estimates by surgeons or anesthetists were often at variance. Surgeons' acceptance of the procedure grew with experience. On the basis of these results, use of absorbable staples offers certain advantages in reducing blood loss, infection, and hospital stay in cesarean deliveries.
- Subjects :
- Adult
Anemia epidemiology
Endometritis epidemiology
Female
Florida
Hemoglobins analysis
Hemostasis, Surgical
Humans
Intraoperative Period
Length of Stay economics
Parity
Postoperative Complications epidemiology
Pregnancy
Puerperal Infection epidemiology
Retrospective Studies
Uterine Hemorrhage epidemiology
Cesarean Section instrumentation
Equipment and Supplies, Hospital standards
Surgical Staplers standards
Suture Techniques instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 0002-9378
- Volume :
- 161
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- American journal of obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 2675596
- Full Text :
- https://doi.org/10.1016/0002-9378(89)90353-0