Cosmetic outcomes of various skin closure methods following cesarean delivery: a randomized trial

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• 作者：Antonella Cromi ; Fabio Ghezzi ; Aless ; ra Gottardi ; Mario Cherubino ; Stefano Uccella ; Luigi Valdatta
• 关键词：cesarean delivery ; cosmesis ; healing ; scar assessment scales ; skin closure
• 刊名：American Journal of Obstetrics and Gynecology
• 出版年：2010
• 出版时间：July 2010
• 年：2010
• 卷：203
• 期：1
• 页码：36.e1-36.e8
• 全文大小：1588 K

文摘

Objective

The objective of the study was to compare scar quality associated with different types of wound closure methods after cesarean section (CS).

Study Design

Patients were randomized to have skin closure following CS with either staples or 3 different types of subcuticular sutures. Scar quality was evaluated 2 and 6 months postoperatively. The Vancouver Scar Scale, the Patient and Observer Scar Assessment Scale (POSAS), and a visual analog scale were used as scar assessment tools.

Results

Of the 180 patients who were recruited, 123 successfully completed the study. No difference in both subjective and objective scar rating was detected across groups at either 2 months or 6 months. In the overall study population, objective scores correlated with patient rating, and correlation was strongest between the observer and patient components of the POSAS (r = 0.48).

Conclusion

In women undergoing CS, stapled wounds and those closed with subcuticular sutures result in equivalent cosmetic appearance of the scar.