Cesarean Section Clinical Trial
Official title:
Closure of Pfannenstiel Skin Incisions After Cesarean Delivery: A Comparison of Metallic Staples Versus Absorbable Staples
The purpose of the study is to compare post operative pain, cost effectiveness, speed of closure and patient satisfaction of Pfannenstiel incisions closed with metallic staples versus absorbable staples (Insorb) after Cesarean Delivery.
The ideal method of closing the skin following a Pfannenstiel incision has not yet been
established. Presently, the method of skin closure is a matter of the surgeon's personal
preference. Currently, there is limited evidence regarding which method is considered
"superior" in terms of post operative pain, patient satisfaction, and cost effectiveness.
This information would be incredibly valuable in helping guide surgeons in their choice of
skin closure technique; and with the rates of Cesarean deliveries rapidly rising, it is
important to determine the best method of skin closure in order to optimize patient care.
After a patient is consented she will be randomized into either the control group and receive
the standard metallic staples or the experimental group and receive the absorbable staples
for her skin closure procedure. One day after her procedure the RN will ask the patient to
rate her pain using a 10cm VAS pain scale. Two or three days after the skin closure and
before the patient is discharged a short survey about the patient's satisfaction of her scar
appearance will be administered. The PI will go back and review the patient's chart to
determine the amount of narcotics administered.
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