Post-Operative Cosmesis and Skin Closure Methods After Cesarean Section
Wake Forest University Health Sciences
Summary
Given the high numbers of cesarean deliveries being performed today, there has been interest in optimizing surgical techniques. Several recent reviews have summarized the evidence for various steps of cesarean delivery, but surprisingly in many cases there is little scientific evidence on which to base the choice of surgical technique.
Description
Cesarean delivery is the most common surgical procedure performed in the United States, with over 1 million procedures performed per year. Based on recent Center for Disease Control (CDC) National Vital Statistics Report (2021) 32.1% of all births in the United States were via cesarean delivery. Given the high numbers of cesarean deliveries being performed today, there has been interest in optimizing surgical techniques. Absorbable staples, made from a combination of polylactic and polyglycolic acid, are a relatively new option for skin closure at the time of surgery. This study is a randomize…
Eligibility
- Age range
- 18–44 years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Age 18-44 * Any race * Any parity * Scheduled cesarean section * Neuraxial analgesia Exclusion Criteria: * Non-English Speaking * Incarcerated * Maternal Connective Tissue Disorder * Systemic maternal steroid use * Three prior cesarean deliveries * Body Mass Index (BMI) \>40
Interventions
- Procedureabsorbable subcuticular polyglycolic acid staples (INSORB)
Insorb absorbable staples are used for skin closure
- Proceduresubcuticular, polyglecaprone suture (Monocryl)
Monocryl absorbable staples are used for skin closure
Location
- Wake Forest University Health SciencesWinston-Salem, North Carolina