Techniques and materials for skin closure in caesarean section

Mackeen, A. Dhanya; Berghella, Vincenzo; Larsen, Mie-Louise

doi:10.1002/14651858.cd003577.pub2

Cited by 101 publications

(28 citation statements)

References 28 publications

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“…10,11 In the present study, apposition of the epidermal margins along the sutured incision was assessed as a predictor of scar formation. We suspect that skin apposition is positively correlated with cosmesis, but that can be only confirmed with an in vivo study.…”

Section: Discussionmentioning

confidence: 99%

Comparison of tensile strength among simple interrupted, cruciate, intradermal, and subdermal suture patterns for incision closure in ex vivo canine skin specimens

Zellner¹,

Hedlund²,

Kraus³

et al. 2016

javma

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OBJECTIVE To compare suture placement time, tension at skin separation and suture line failure, and mode of failure among 4 suture patterns. DESIGN Randomized trial. SAMPLE 60 skin specimens from the pelvic limbs of 30 purpose-bred Beagles. PROCEDURES Skin specimens were harvested within 2 hours after euthanasia and tested within 6 hours after harvest. An 8-cm incision was made in each specimen and sutured with 1 of 4 randomly assigned suture patterns (simple interrupted, cruciate, intradermal, or subdermal). Suture placement time and percentage of skin apposition were evaluated. Specimens were mounted in a calibrated material testing machine and distracted until suture line failure. Tensile strength at skin-edge separation and suture-line failure and mode of failure were compared among the 4 patterns. RESULTS Mean suture placement time for the cruciate pattern was significantly less than that for other patterns. Percentage of skin apposition did not differ among the 4 patterns. Mean tensile strength at skin-edge separation and suture-line failure for the simple interrupted and cruciate patterns were significantly higher than those for the intradermal and subdermal patterns. Mean tensile strength at skin-edge separation and suture-line failure did not differ significantly between the intradermal and subdermal patterns or the simple interrupted and cruciate patterns. The primary mode of failure for the simple interrupted pattern was suture breakage, whereas that for the cruciate, intradermal, and subdermal patterns was tissue failure. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested external skin sutures may be preferred for closure of incisions under tension to reduce risk of dehiscence.

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Section: Discussionmentioning

confidence: 99%

Comparison of tensile strength among simple interrupted, cruciate, intradermal, and subdermal suture patterns for incision closure in ex vivo canine skin specimens

Zellner¹,

Hedlund²,

Kraus³

et al. 2016

javma

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“…Clay FS, Walsh CA (13) found wound separation (pooled odds ratio, 4.01; P < .0001) and composite wound complication (pooled odds ratio, 2.11; P = .003) rates were higher with staples. Mackeen AD (14) , Agbakwuru EA (15) ,Lundbald R (16) , MR. A Subramanian (6) , and Eldrup (17) et.al. found no difference in postoperative infection rates using staples or sutures.…”

Section: Wound Infection Ratesmentioning

confidence: 99%

A Comparative Study of Stapled Vs Subcuticular Vs Simple Interrupted Closure of Inguinal Hernia Incision

Ghag¹,

Shukla²,

Karanjkar³

et al. 2016

IOSR

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“…A systematic review identified eight RCTs evaluating these three alternatives for closure of the Pfannenstiel incision in the general CS population, and found similar incidences of wound complications with staples and subcuticular sutures, as well as similar pain and cosmetic results [40]. Staple removal before the fourth post-operative day was associated with an increased risk of skin separation.…”

Section: Closure Of the Skinmentioning

confidence: 99%

Obesity and the challenges of caesarean delivery: Prevention and management of wound complications

Ayres-de-Campos¹

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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Techniques and materials for skin closure in caesarean section

Abstract: Editorial group: Cochrane Pregnancy and Childbirth Group. Publication status and date: New search for studies and content updated (no change to conclusions), published in Issue 9, 2012. Review content assessed as up-to-date: 30 June 2012.

Cited by 101 publications

References 28 publications

Comparison of tensile strength among simple interrupted, cruciate, intradermal, and subdermal suture patterns for incision closure in ex vivo canine skin specimens

Comparison of tensile strength among simple interrupted, cruciate, intradermal, and subdermal suture patterns for incision closure in ex vivo canine skin specimens

A Comparative Study of Stapled Vs Subcuticular Vs Simple Interrupted Closure of Inguinal Hernia Incision

Obesity and the challenges of caesarean delivery: Prevention and management of wound complications

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