Cesarean Trial of Staples vs. Sutures
Summary
To determine whether the rate of wound complications differs based on method of closure of skin incision (staples vs. suture) after cesarean delivery.
Description
Despite this large number of cesareans performed annually, there is a paucity of data to suggest which technique is superior for closure of the skin incision with regards to wound complications, including wound separation and infection. As the morbidity associated with a cesarean delivery is usually related to wound complications, especially infection, we feel that it is important to examine this outcome by comparing the current skin closure techniques: staples versus suture.
Study Design
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor)
Conditions
Cesarean Section
Intervention
Staples, Suture
Location
Yale University
New Haven
Connecticut
United States
19107
Status
Active, not recruiting
Source
Thomas Jefferson University
Results (where available)
Links
- Source: http://clinicaltrials.gov/show/NCT01211600
- Information obtained from ClinicalTrials.gov on October 30, 2012
Medical and Biotech [MESH] Definitions
Vaginal Birth After Cesarean
Delivery of an infant through the vagina in a female who has had a prior cesarean section.
Cesarean Section, Repeat
Extraction of the fetus by abdominal hysterotomy anytime following a previous cesarean.
Cesarean Section
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
Respiratory Distress Syndrome, Newborn
A condition of the newborn marked by DYSPNEA with CYANOSIS, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal notch or costal margins, mostly frequently occurring in premature infants, children of diabetic mothers, and infants delivered by cesarean section, and sometimes with no apparent predisposing cause.
Suture Anchors
Implants used in arthroscopic surgery and other orthopedic procedures to attach soft tissue to bone. One end of a suture is tied to soft tissue and the other end to the implant. The anchors are made of a variety of materials including titanium, stainless steel, or absorbable polymers.
Clinical Trials
Staples Versus Suture for Cesarean Wound Closure
The objective of this randomized controlled trial is to compare wound morbidity (including disruption and infection) in surgical staples versus absorbable subcuticular suture for wound clo...
Early Versus Delayed Skin Staple Removal Following Cesarean Delivery in the Obese Patient
Whenever a person has a cesarean section there is a risk that there will be a problem with healing of the wound. The most common type of wound healing problem is separation and opening of...
Appendectomy Versus no Appendectomy With Cesarean Section
Women having cesarean section will be divided into two groups - cesarean section alone or cesarean section with appendectomy. The purpose is to see if the appendectomy can be done without...
Women who have a cesarean delivery have a surgical incision on their abdomen (belly). The usual way to close this opening is with metal surgical staples. In many other types of surgery, su...
Dermabond Skin Adhesives vs Skin Staples for Closure of Repeat Cesarean Section Skin Incisions
The use of dermabond skin adhesive vs. skin staples for the closure of repeat c-section incisions.
PubMed Articles
We report the case of a patient with placenta previa accreta. A 29-year-old multipara, who had previously undergone a cesarean section, was admitted to our hospital for vaginal bleeding. An emergency...
OBJECTIVE: To study the effect of subcutaneous tissue closing and the effect of two different skin closure methods at cesarean section on long-term cosmetic results. DESIGN: Randomized controlled tria...
Postoperative Outcomes Associated with Topical Skin Adhesives among Women Having Hysterectomies.
Abstract Background: Multiple options are available for closure of hysterectomy incisions. This study compared postoperative clinical and economic outcomes using topical skin adhesive (2-octyl cyanoac...
Investigation of the best suture pattern to close a stuffed Christmas turkey.
Instructions on how to debone and stuff a turkey are available, but what is the best way to close it up? A randomised trial involving 15 turkeys was performed in order to evaluate skin disruption scor...
Gestational diabetes mellitus: A risk factor for non-elective cesarean section.
Aim: To assess whether gestational diabetes mellitus (GDM) is associated with non-elective cesarean section. Material and Methods: A retrospective cohort study was conducted at the Department of...
