Effect of skin coverage method following subcuticular suturing on wound infection rates at cesarean delivery*

Jill M. Westcott, Libby Crockett, Fang Qiu, Teresa G. Berg

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objective: The objective of this study was to determine whether the use of cyanoacrylate skin glue following subcuticular skin closure was associated with a decrease in wound outcomes in comparison with subcuticular closure plus Steri-strips at cesarean delivery. Methods: This was a retrospective cohort study of patients undergoing cesarean delivery at a single center over a two-year period. The primary outcome of wound infection and secondary outcomes of wound separation and composite wound complication rate were assessed throughout the six-week postpartum period. Results: Of 660 women who met inclusion criteria, 35 (5.3%) experienced a wound infection and 90 (13.6%) experienced a wound separation. The composite wound complication rate was 16.4% (n = 108). Of the 515 cases with a skin coverage method noted, use of skin glue was associated with a marginal decrease in wound infections (p = 0.057), as well as a significantly reduced incidence of wound separation (p = 0.03) and composite wound complications (p = 0.006). Conclusion: Cyanoacrylate skin glue may be superior to Steri-strips for wound separation and composite wound complication rates when utilized with subcuticular suture at the time of cesarean delivery and may yield some benefit for prevention of wound infection.

Original languageEnglish (US)
Pages (from-to)2003-2005
Number of pages3
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume30
Issue number16
DOIs
StatePublished - Aug 18 2017

Keywords

  • Cesarean
  • skin glue
  • suture
  • wound complications

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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