What is the best skin closure for a cesarean section?
Metadata[+] Show full item record
Methods for cesarean skin closure include suture, staple, and tissue adhesive. Obstetric and general surgery studies have reached the following conclusions: • Sutures vs staples: sutures result in a longer operating time, but less postoperative pain and a better cosmetic result. • Sutures vs tissue adhesive (the most commonly used is 2-octyl cyanoacrylate, Dermabond®): sutures result in a lower incidence of dehiscence. • Staples vs tissue adhesive: staples are faster, but other outcomes are similar. Staples need to be removed, unlike tissue adhesive and subcutaneous sutures. Surgeons and women should discuss current evidence in choosing how the skin will be closed.
Evidence Based Practice 14(2): 07.