title: Evaluation of surgical staples in cesarean section.
abstract: Experience with Lactomer absorbable surgical staples (Auto Suture Poly CS 57 disposable surgical stapler) in 62 cesarean sections was compared with an equal number of operations performed with standard techniques. The technique of application of the stapler evolved with experience. Countertraction to staplers with Allis' clamps prevented uterine V incisions. Operative time was longer for the stapled suture group for primary cesarean sections, but was unchanged for repeat procedures. Excellent hemostasis of the uterine incision was achieved even when varicose sinusoidal veins were present. Significant reductions of hemoglobin deficits from 2.16 to 1.31 gm/dl, postoperative anemia from 29% to 6.4%, and endometritis from 22.5% to 6.4% occurred respectively in nonstapled and stapled groups. A reduced hospital stay, shortened by 2.1 days, saved each patient +F42950. Blood loss estimates by surgeons or anesthetists were often at variance. Surgeons' acceptance of the procedure grew with experience. On the basis of these results, use of absorbable staples offers certain advantages in reducing blood loss, infection, and hospital stay in cesarean deliveries.
authors.affiliation: Department of Obstetrics and Gynecology, University of Miami School of Medicine, FL 33101.
authors.forename: G
authors.initials: G
authors.lastname: Burkett
authors.forename: L P
authors.initials: LP
authors.lastname: Jensen
authors.forename: A
authors.initials: A
authors.lastname: Lai
authors.forename: M J
authors.initials: MJ
authors.lastname: O'Sullivan
authors.forename: S
authors.initials: S
authors.lastname: Yasin
authors.forename: S
authors.initials: S
authors.lastname: Beydoun
authors.forename: A G
authors.initials: AG
authors.lastname: McLeod
mesh_terms: D000328:Adult; D000740:Anemia / Q000453:epidemiology; D002585:Cesarean Section / Q000295:instrumentation*; D004716:Endometritis / Q000453:epidemiology; D004865:Equipment and Supplies, Hospital / Q000592:standards*; D005260:Female; D005431:Florida; D006454:Hemoglobins / Q000032:analysis; D006488:Hemostasis, Surgical; D006801:Humans; D007432:Intraoperative Period; D007902:Length of Stay / Q000191:economics; D010298:Parity; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011645:Puerperal Infection / Q000453:epidemiology; D012189:Retrospective Studies; D013528:Surgical Staplers / Q000592:standards*; D013536:Suture Techniques / Q000295:instrumentation*; D014592:Uterine Hemorrhage / Q000453:epidemiology
chemical_list: D006454:Hemoglobins