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Skin Closure of Pfannenstiel Incision with Dermabond, Staples, or Suture during Cesarean Delivery: Experience of a Single Attending
- Source :
- American Journal of Perinatology. 30:219-224
- Publication Year :
- 2012
- Publisher :
- Georg Thieme Verlag KG, 2012.
-
Abstract
- Objective We aimed to compare the rates of wound separation (WS) and surgical site infection (SSI) after cesarean delivery (CD) by a single surgeon. Pfannenstiel skin incision (PSI) was closed with Dermabond, staples, or suture. Study Design Retrospectively all women having CD via PSI were identified. WS and SSI rates with Dermabond were compared with other two techniques. Results Of 239 CDs performed, 88% ( n = 211) were available for postpartum evaluation. The PSI was closed with Dermabond in 85 (40%), staples in 76 (36%), and suture in 50 (24%). Overall WS rate was 7%; with Dermabond, it was 5% versus 13% with staple ( p = 0.090) and 2% with suture ( p = 0.651). Post hoc calculation suggests a randomization of 4325 women is needed to determine if Dermabond has one-third less wound complication than suture. Conclusion For the PSI closure, Dermabond may be a useful alternative skin closure device, though a randomized trial is warranted.
- Subjects :
- Adult
medicine.medical_specialty
Randomization
Post hoc
Pfannenstiel incision
law.invention
Young Adult
Randomized controlled trial
Suture (anatomy)
Pregnancy
law
Surgical Stapling
Surgical Wound Dehiscence
medicine
Humans
Cyanoacrylates
Cesarean delivery
Retrospective Studies
Sutures
Skin incision
Cesarean Section
business.industry
Suture Techniques
Obstetrics and Gynecology
Single surgeon
Surgery
Anesthesia
Pediatrics, Perinatology and Child Health
Female
Tissue Adhesives
business
Surgical site infection
Subjects
Details
- ISSN :
- 10988785 and 07351631
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- American Journal of Perinatology
- Accession number :
- edsair.doi.dedup.....7e73aa9f5ba7a90f9e5e60b1b43fea51