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.

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

CROMI, ANTONELLA;GHEZZI, FABIO;GOTTARDI, ALESSANDRA;CHERUBINO, MARIO;UCCELLA, STEFANO;VALDATTA, LUIGI
2010

Abstract

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.
Adult; Cesarean Section; Cicatrix; Female; Humans; Patient Satisfaction; Skin; Statistics; Nonparametric; Sutures; Wound Healing
Cromi, Antonella; Ghezzi, Fabio; Gottardi, Alessandra; Cherubino, Mario; Uccella, Stefano; Valdatta, Luigi
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11383/1718507
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