Use of Insorb Absorbable Vicryl Staples in Skin Closure for Cesarean Section



Status:Completed
Conditions:Hospital
Therapuetic Areas:Other
Healthy:No
Age Range:14 - 50
Updated:3/30/2013
Start Date:January 2010
End Date:December 2011

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Comparison of Vicryl Absorbable Sutures and Metal Staples Used in Skin Closure Following Cesarean Section


The purpose of this study is to evaluate the incidence of wound breakdown or wound infection
following skin closure with Insorb subcuticular absorbable staples versus metal staples
after cesarean section through a retrospective chart analysis.


Procedures:

A list will be compiled of patients who underwent cesarean section at Memorial Hermann
Hospital in the Texas Medical Center from January 1st 2010 through January 1st 2011. Only
UT patients who had their skin closed with Insorb or metal staples will be included in this
list. Patients' clinical charts will be reviewed for post-operative follow-up, and notes
will be made of the wound assessment. Any complications such as infection, seroma,
hematoma, and wound separation or delayed healing will be recorded. Additional notes will
be made of any co-morbid conditions, including, but not limited to, >30 BMI, chronic
hypertension, diabetes mellitus, HIV, history of tobacco use.

Once the data is gathered, it will be compared with published national averages to determine
if there is an increased risk of wound separation or wound infection at our institution. In
addition, rated of infection and wound breakdown following closure with either absorbable or
metal staples will be compared by Fisher's exact test, to determine statistical
significance.

Course of Study: Data will be obtained from UT patients who underwent cesarean section from
January 1st, 2010 through January 1st, 2011. Only patients who had skin closure with InSorb
or metal staples will be included in analysis.

Inclusion Criteria:

- Cesarean sections

- UT patients

Exclusion Criteria:

- Patients who have skin closed with suture, per attending choice.
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