الفهرس 
Cesarean sectionOnly 14 pages are availabe for public view
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Abstract
Abstract:
This interventional randomized controlled clinical trial was conducted at Ain Shams University Maternity Hospital (labor word) between March 2021 and august 2021 to compare the outcome of a cesarean wound regarding pain, infection and seroma with surgical staples versus absorbable and non-absorbable subcuticular sutures. A total of 150 patients were randomly allocated into three equal groups; staples group (A), vicryl group (B) and prolene group (C). Only 138 patients were followed-up and analyzed statistically ((47) patients in Staples group (A), (45) patients in vicryl group (B) and (46 patients in prolene group (C)).
Regarding demographics data; statistical analysis of current results showed that there was not statistically significantly difference between all groups regarding patient’s age, parity and BMI; p= 0.153, 0.381 and 0.306 respectively. Regarding observational data in first 24 hours ,at hospital discharge and after one week from cesarean section; statistical analysis of current results showed that there was not statistically significantly difference between all groups regarding wound pain, need for extra dose of analgiscs, edema, echymosis, soaking of dressing , oozing (blood or serous),surgical site infection, allergy ,dehiscence, pigmentation, thickness, pliability, ; p= 0.645, 0.016 , 0.068 , 0.041 ,0.020 ,0.051 ,0.068 ,0.165 ,0.427 , 0.063 ,0.467 ,0.645 and 0.325 respectively. Regarding duration of intraoperative wound closure (minutes); statistical analysis of current results showed that it was significantly different among the three groups (P <0.001). Duration of closure was significantly lower in staples (7.00 ± 1.04) compared to vicryl (13.24 ± 1.23) (P <0.001) and prolene group (12.65 ± 1.18) (P =0.001). Also, it was significantly lower in prolene compared to vicryl group (P <0.001). In conclusion, the outcome of a cesarean wound regarding pain, infection and seroma was the same with no significant differences between surgical staples, absorbable and non-absorbable sub-cuticular sutures.