A new study favors sutures over staples to close a caesarean incision

Jan 7, 2017 | | Say something

A new study favors sutures over staples to close a caesarean incision ;

C- section Scissor
Researchers at Thomas Jefferson University in Philadelphia believes who have settled long-standing debate about how to close a caesarean section, sutures beating staples in a surprising 57 percent reduction in wound complications. Although Caesarean sections have become commonplace in the developed world, which represents a third of births in the United States and nearly 50 percent of births in China, doctors never settled in the debate and some say staples work best in overweight women.

“There has been an ongoing debate in the field about the use of sutures compared with staples,” says lead author, Vincenzo Berghella, MD, director of maternal-fetal medicine the Department of Obstetrics and Gynecology at Thomas Jefferson University. He added: “Caesarean sections are a common procedure in the United States, and yet they have not yet established the best way to close the incisions.” The study is the largest of its kind and researchers at three hospitals worked with 746 women who gave birth by caesarean section. (Read: 12 cases for a cesarean section )

The researchers divided the participants equally in ‘points’ and’ Staples groups, making sure overweight women were equally represented. They also ensured mothers were equally represented on previous cesarean experiences, eliminating the possibility that differences in the results due to the above factors. The results showed 40 of 376 women had complications with their staples, while only 18 of the 370 problems experienced after being sutured. The incisions were sutured were 80 percent less likely to reopen more than 1 cm were those who closed with staples. (Read: Understanding induces labor and cesarean sections )

The authors cite a study of 2013, which, taking into account the above data, reflects a worrying trend doctors prefer staples for your personal, such as ease of use and the nine minutes of time saved, on average convenience. “Based on these results, it is recommended that cesarean incisions are closed with stitches instead of staples,” says Dr. Berghella, who has authored several evidence-based guidelines for Obstetrics and Gynecology and is also the current president of the Society for Maternal -Fetal Medicine. recently published in the journal Obstet-Gynacol, researchers hope their study will lead to safer options for physicians and their patients. (Read: How to plan a birth without violence )

What is C-Section?

A caesarean is a surgical procedure in which one or more incisions are made through the mother’s abdomen (laparotomy) and uterus (hysterectomy) to deliver one or more babies, or, rarely, to remove a dead fetus. Doctors often recommend Caesarean section is where the baby can not be sent through a normal vaginal delivery. This can happen in cases where the woman has twins (or triplets, etc.), a delivery failure is expected (the baby is descending legs first head) baby is large, there any problems associated with the uterus or placenta previa (placenta is low and covers the cervix) is detected. Sometimes, during normal labor, the doctor may decide to proceed to a caesarean section as well.

cesareans are of two types: the lower section of the preferred segment caesarean or LSCS and classical section is used less more often. In a LSCS, the cut in the uterus is positioned at its lower end and a cut such has many advantages, both during surgery and postoperative recovery.

Furthermore, when this area of ​​the uterus is not accessible for some reason, your doctor may still opt for a classic section where the cut is placed at the top of the uterus.

Caesarean section is performed under the effect of an epidural or spinal to be numb from the waist down. An incision in the horizontal skin is just above the “bikini line” and the abdominal muscles are separated. Generally, a horizontal incision is made in the bottom of the uterus although there may be cases where it may be necessary a vertical incision. the baby comes out of your womb and the cord is cut. the uterine incision is closed with sutures (points) resorbable material. the skin sutures will . to be removed after three to seven days antibiotics may be administered during the procedure through an IV Read more about caesarean birth. – is what really need

image Source: AFP

with contributions from AFP



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