View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
MONDAY, July 12 (HealthDay News) -- There is little difference in cosmetic outcomes for patients whose cesarean section wounds were closed by staples and those whose wounds were closed with subcuticular sutures, according to research published in the July issue of the American Journal of Obstetrics & Gynecology.
Antonella Cromi, Ph.D., of the University of Insubria in Varese, Italy, and colleagues studied 123 patients who were randomized to skin closure after cesarean section with either staples or one of three types of subcuticular sutures. Scar appearance across the different approaches was compared.
At both two and six months, the researchers noted no differences in subjective or objective rating across the groups, as measured by the Vancouver Scar Scale, the Patient and Observer Scar Assessment Scale (POSAS), and a visual analog scale. Patient assessment and objective scores correlated, most strongly between observer and patient pieces of the POSAS.
"The results reported herein show that in women undergoing cesarean delivery there are no long-term differences in cosmetic outcomes between stapled wounds and those closed with subcuticular sutures using different materials. Therefore, the final decision about the choice of method and suture materials should be made balancing patient comfort (e.g., not having to remove sutures) and surgeon needs (time saving with staples may not be of importance in an elective setting but may be more relevant in an emergency situation in the setting of a busy labor and delivery unit)," the authors conclude.
Full Text (subscription or payment may be required)
Find in-depth content on major issues provided by leading companies in partnership with NursingCenter.com
BD Safety Beyond Needlestick Prevention Learning Center
Sponsored by BD Medical
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top