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Scar appearance of different skin and subcutaneous tissue closure techniques in caesarean section: a randomized study


Gaertner, I; Burkhardt, T; Beinder, E (2008). Scar appearance of different skin and subcutaneous tissue closure techniques in caesarean section: a randomized study. European Journal of Obstetrics and Gynecology and Reproductive Biology, 138(1):29-33.

Abstract

OBJECTIVES: To determine the role of skin and subcutaneous space closure in caesarean section on the cosmetic appearance of the scar and the patients' satisfaction. STUDY DESIGN: 153 patients undergoing caesarean section without prior abdominal delivery were included and randomly assigned in a non-blinded study to four different combinations of skin and subcutaneous tissue closure. The scar was assessed after a period of at least 4 months by a self-developed protocol and the patient was asked to complete a survey regarding her satisfaction with the scar. RESULTS: One hundred patients were eligible for long-term evaluation of the scar. Skin closure by either staples or intracutaneous suture in combination with closure or non-closure of the subcutaneous space has a comparable outcome in view of cosmetic outcome and patient satisfaction. CONCLUSIONS: All four methods of skin closure seem to be a reasonable choice in caesarean section because they have comparable cosmetic outcome, do not differ with respect to the patients' satisfaction and bear comparable costs.

OBJECTIVES: To determine the role of skin and subcutaneous space closure in caesarean section on the cosmetic appearance of the scar and the patients' satisfaction. STUDY DESIGN: 153 patients undergoing caesarean section without prior abdominal delivery were included and randomly assigned in a non-blinded study to four different combinations of skin and subcutaneous tissue closure. The scar was assessed after a period of at least 4 months by a self-developed protocol and the patient was asked to complete a survey regarding her satisfaction with the scar. RESULTS: One hundred patients were eligible for long-term evaluation of the scar. Skin closure by either staples or intracutaneous suture in combination with closure or non-closure of the subcutaneous space has a comparable outcome in view of cosmetic outcome and patient satisfaction. CONCLUSIONS: All four methods of skin closure seem to be a reasonable choice in caesarean section because they have comparable cosmetic outcome, do not differ with respect to the patients' satisfaction and bear comparable costs.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Obstetrics
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:May 2008
Deposited On:16 Feb 2009 13:50
Last Modified:05 Apr 2016 12:59
Publisher:Elsevier
ISSN:0301-2115
Additional Information:Elsevier full text article at http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6T69-4PKP4HH-1-B&_cdi=5025&_user=5294990&_orig=search&_coverDate=05%2F31%2F2008&_sk=998619998&view=c&wchp=dGLbVzW-zSkzV&md5=8062e7c41d8782c2642ba9d827cda97f&ie=/sdarticle.pdf
Publisher DOI:10.1016/j.ejogrb.2007.07.003
PubMed ID:17825472
Permanent URL: http://doi.org/10.5167/uzh-13426

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