title: Skin closure of pfannenstiel incision with dermabond, staples, or suture during cesarean delivery: experience of a single attending.
abstract: OBJECTIVE
  We aimed to compare the rates of wound separation (WS) and surgical site infection (SSI) after cesarean delivery (CD) by a single surgeon. Pfannenstiel skin incision (PSI) was closed with Dermabond, staples, or suture.
  
  
  METHODS
  Retrospectively all women having CD via PSI were identified. WS and SSI rates with Dermabond were compared with other two techniques.
  
  
  RESULTS
  Of 239 CDs performed, 88% (n = 211) were available for postpartum evaluation. The PSI was closed with Dermabond in 85 (40%), staples in 76 (36%), and suture in 50 (24%). Overall WS rate was 7%; with Dermabond, it was 5% versus 13% with staple (p = 0.090) and 2% with suture (p = 0.651). Post hoc calculation suggests a randomization of 4325 women is needed to determine if Dermabond has one-third less wound complication than suture.
  
  
  CONCLUSIONS
  For the PSI closure, Dermabond may be a useful alternative skin closure device, though a randomized trial is warranted.
authors.affiliation: Department of Obstetrics and Gynecology, University of Wisconsin, Milwaukee, WI 53233, USA. Danish.Siddiqui@aurora.org
authors.forename: Danish S
authors.initials: DS
authors.lastname: Siddiqui
authors.forename: Eduardo M
authors.initials: EM
authors.lastname: Lacuna
authors.forename: Han-Yang
authors.initials: HY
authors.lastname: Chen
authors.forename: Suneet P
authors.initials: SP
authors.lastname: Chauhan
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D003487:Cyanoacrylates / Q000009:adverse effects; D005260:Female; D006801:Humans; D011247:Pregnancy; D012189:Retrospective Studies; D017792:Surgical Stapling / Q000009:adverse effects; D013529:Surgical Wound Dehiscence / Q000209:etiology*; D013536:Suture Techniques / Q000009:adverse effects* / Q000295:instrumentation; D013537:Sutures / Q000009:adverse effects; D014014:Tissue Adhesives / Q000009:adverse effects; D055815:Young Adult
chemical_list: D003487:Cyanoacrylates; D014014:Tissue Adhesives; C100832:octyl 2-cyanoacrylate