A randomized study comparing skin closure in benign gynecologic surgery : Staple versus subcuticular suture

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A transverse suprapubic (Pfannenstiel) incision is widely used in gynecologic surgery and cesarean delivery, and associated with a better cosmetic result. The goal of any skin closure technique is to produce appropriate skin approximation and adequate healing with minimal wound complications, scarring, pain, and cost. The technique should be quick, cost-effective, and simple, while maximizing wound cosmesis and patient satisfaction. Two methods for skin closure are used: metallic staples or subcuticular sutures. The method chosen relies mostly on the surgeon’s preference. The impact of the method used on postoperative pain, aesthetic results, and incidence of infections remains controversial. Most trials have suggested that staples are superior in speed of closure but have provided conflicting results regarding rates of infection, evaluation of cosmesis, postoperative pain, and cost-effectiveness. There were insufficient data to compare the effectiveness of these two methods, most of gynecologists individually choose their preferred methods.

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