Cargando…
A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women
This study aimed to compare patients' satisfaction and outcome of caesarean section wound closure by skin staples and subcuticular suture at discharge and 6 weeks of postoperation. It was a randomized controlled trial of pregnant women scheduled for caesarean section at the University College H...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4897048/ https://www.ncbi.nlm.nih.gov/pubmed/27437457 http://dx.doi.org/10.1155/2014/807937 |
_version_ | 1782436074771972096 |
---|---|
author | Abdus-Salam, Rukiyat Adeola Bello, Folasade Adenike Olayemi, Oladapo |
author_facet | Abdus-Salam, Rukiyat Adeola Bello, Folasade Adenike Olayemi, Oladapo |
author_sort | Abdus-Salam, Rukiyat Adeola |
collection | PubMed |
description | This study aimed to compare patients' satisfaction and outcome of caesarean section wound closure by skin staples and subcuticular suture at discharge and 6 weeks of postoperation. It was a randomized controlled trial of pregnant women scheduled for caesarean section at the University College Hospital, Ibadan, Nigeria, allocating them to wound closure by skin staples or subcuticular suture. Pain was assessed using the box numeric pain scale. Scar assessments were by patient, research nurse, and independent observers using the visual analogue scale, modified patient observer scar assessment scale, and patient satisfaction scale. Operation time (minutes) was significantly shorter in the staple group, 40.26 (±16.53) compared to 47.55 (±14.55) in the suture group (P = 0.025). Skin closure time (seconds) was significantly less in the staple group, 118.62 (±69.68) versus 388.70 (±170.40) in the suture group (P ≤ 0.001). There was no difference in pain experienced, wound assessment by the participants, and patients' satisfaction. Participants in the staple group scored higher on both scar assessment scales by the nurse (P = 0.044). Cost comparison analysis showed that staple use costs significantly more than suture use (P < 0.001). The perceived benefit of subcuticular suture over skin staples was not observed and participants were satisfied with both wound closure techniques. |
format | Online Article Text |
id | pubmed-4897048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-48970482016-07-19 A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women Abdus-Salam, Rukiyat Adeola Bello, Folasade Adenike Olayemi, Oladapo Int Sch Res Notices Clinical Study This study aimed to compare patients' satisfaction and outcome of caesarean section wound closure by skin staples and subcuticular suture at discharge and 6 weeks of postoperation. It was a randomized controlled trial of pregnant women scheduled for caesarean section at the University College Hospital, Ibadan, Nigeria, allocating them to wound closure by skin staples or subcuticular suture. Pain was assessed using the box numeric pain scale. Scar assessments were by patient, research nurse, and independent observers using the visual analogue scale, modified patient observer scar assessment scale, and patient satisfaction scale. Operation time (minutes) was significantly shorter in the staple group, 40.26 (±16.53) compared to 47.55 (±14.55) in the suture group (P = 0.025). Skin closure time (seconds) was significantly less in the staple group, 118.62 (±69.68) versus 388.70 (±170.40) in the suture group (P ≤ 0.001). There was no difference in pain experienced, wound assessment by the participants, and patients' satisfaction. Participants in the staple group scored higher on both scar assessment scales by the nurse (P = 0.044). Cost comparison analysis showed that staple use costs significantly more than suture use (P < 0.001). The perceived benefit of subcuticular suture over skin staples was not observed and participants were satisfied with both wound closure techniques. Hindawi Publishing Corporation 2014-10-28 /pmc/articles/PMC4897048/ /pubmed/27437457 http://dx.doi.org/10.1155/2014/807937 Text en Copyright © 2014 Rukiyat Adeola Abdus-Salam et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Abdus-Salam, Rukiyat Adeola Bello, Folasade Adenike Olayemi, Oladapo A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women |
title | A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women |
title_full | A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women |
title_fullStr | A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women |
title_full_unstemmed | A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women |
title_short | A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women |
title_sort | randomized study comparing skin staples with subcuticular sutures for wound closure at caesarean section in black-skinned women |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4897048/ https://www.ncbi.nlm.nih.gov/pubmed/27437457 http://dx.doi.org/10.1155/2014/807937 |
work_keys_str_mv | AT abdussalamrukiyatadeola arandomizedstudycomparingskinstapleswithsubcuticularsuturesforwoundclosureatcaesareansectioninblackskinnedwomen AT bellofolasadeadenike arandomizedstudycomparingskinstapleswithsubcuticularsuturesforwoundclosureatcaesareansectioninblackskinnedwomen AT olayemioladapo arandomizedstudycomparingskinstapleswithsubcuticularsuturesforwoundclosureatcaesareansectioninblackskinnedwomen AT abdussalamrukiyatadeola randomizedstudycomparingskinstapleswithsubcuticularsuturesforwoundclosureatcaesareansectioninblackskinnedwomen AT bellofolasadeadenike randomizedstudycomparingskinstapleswithsubcuticularsuturesforwoundclosureatcaesareansectioninblackskinnedwomen AT olayemioladapo randomizedstudycomparingskinstapleswithsubcuticularsuturesforwoundclosureatcaesareansectioninblackskinnedwomen |