Table of Contents
International Scholarly Research Notices
Volume 2014 (2014), Article ID 807937, 8 pages
http://dx.doi.org/10.1155/2014/807937
Clinical Study

A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women

1Department of Obstetrics and Gynaecology, Adeoyo Maternity Teaching Hospital, Yemetu, Ibadan 200211, Nigeria
2Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan 200212, Nigeria
3Department of Obstetrics and Gynaecology, University College Hospital, PMB 5116, Ibadan 200212, Nigeria

Received 25 June 2014; Accepted 30 August 2014; Published 29 October 2014

Academic Editor: Robert Lindeboom

Copyright © 2014 Rukiyat Adeola Abdus-Salam et al. 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.

Abstract

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 (). Skin closure time (seconds) was significantly less in the staple group, 118.62 (±69.68) versus 388.70 (±170.40) in the suture group (). 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 (). Cost comparison analysis showed that staple use costs significantly more than suture use (). The perceived benefit of subcuticular suture over skin staples was not observed and participants were satisfied with both wound closure techniques.