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| Skin glue: Ethicon.com |
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| Monocryl |
Use of Glue(Dermabond ) or subcutaneous Monocryl results in same outcome in terms of safety, healing, wound complications or cosmetic appearance.
The choice of using one over another depends on surgeons’ choice and patient’s
preference.
The study will
be presented at the 37th
annual meeting of Society for Maternal-Fetal Medicine , January 23-28 , Las
Vegas. Cesarean sections rates are on rise, it is the most common surgery
performed in U.S. hospitals. Roughly, every one in three baby is born by
Cesarean Section. In-spite this, there is still no consensus or evidence about
best method for skin closure in Cesarean section.
Yari Daykan
and his colleagues from Dept. of Obstetrics and Gynecology at Meir Medical
Center in Kfar Saba and the Sackler School of Medicine in Tel Aviv conducted a
RCT, in which women undergoing a scheduled Cesarean section were randomized to
either have the wound glued using Dermabond or wound closed by using
subcuticular Monocryl. [1]
The scars
were assessed after 2 months by using Patient and Observer Scar Assessment
Scale (POSAS) scores. The
POSAS is a comprehensive scale that is designed for the evaluation of all types
of scars by professionals and patients.[2]
The scar site
was also evaluated at 1 month for infection, discharge, redness or dehiscence as
secondary outcome of the study.
Both the
study groups were comparable in terms of indications for C-section, length of surgery,
BMI and other demographics.
It was seen
that at 8 weeks, scars were comparable in terms of patient score, physician score
and subcutaneous thickness, wound infection or wound dehiscence.
Researchers
concluded that both methods are safe, equally effective and the choice depends
on surgeon and patient's preferences.
