Abstract
Objective: To compare frequency of wound infection in skin staples versus sutures for skin closure in patients undergoing caesarean section.
Methodology: The randomized control trial study was conducted in Department of Obstetrics & Gynaecology, Benazir Bhutto Hospital, Rawalpindi from 4th February, 2015 to 3rd September 2015. A total of 654 cases were included in the study. Patients were divided into two groups. Group A was allotted for Skin Staples and Group B for sutures. Caesarean section was performed following the departmental protocols and skin closure was done according to randomization. Wound infection was recorded.
Results: In this study mean age of patients was same in both groups (29.64 ± 4.17 vs. 29.58 ± 4.54 years) respectively. Mean gestational age was also same (38.48 ± 0.65 vs 38.57 ± 0.62 ). In skin staples group 53(16.2%) females underwent elective c-section and 274 (83.8%) emergency c-section. In sutures group 63(19.3%) cases underwent elective and 264(80.7%) cases had emergency c-section, p-value = 0.306. In skin staples group 40(12.2%) patients developed wound infection and in sutures group 19(5.8%) females got wound infection within 7th post-operative day. Wound infection was significantly lower in suture groups as compared to staples groups, p-value = 0.04.
Conclusion: It is concluded that closure of the skin incision at caesarean delivery with suture is associated with decrease incidence of wound infection as compared to staples.
Maria Sajid, Humera Noreen, Shagufta Saeed Sial, Ismat Tanveer, Nighat Naheed. (2019) Comparison of Wound Infection in Skin Staples Versus Sutures for Skin Closure in Patients Undergoing Caesarean Section, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-09, Issue-4.
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