Closure of Pfannenstiel skin incisions. Staples vs. subcuticular suture

J Reprod Med. 1997 Oct;42(10):627-30.


Objective: To compare skin closure with staples and subcuticular suture.

Study design: Obstetric patients undergoing cesarean section with a Pfannenstiel incision were prospectively randomized to skin closure with staples or subcuticular suture. Pain and cosmesis were assessed postoperatively.

Results: Patients reported significantly less pain following subcuticular closure at both the time of discharge (P < or = .01) and the postoperative visit (P < or = .002). Incisions closed with subcuticular suture were found to be more cosmetically attractive by both patients (P = .04) and physicians (P = .01) at the postoperative visit.

Conclusion: Pfannenstiel skin incisions closed with subcuticular closure following cesarean section result in less postoperative discomfort and are more cosmetically appealing at the six-week postoperative visit as compared to incisions closed with staples.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Cesarean Section / methods*
  • Dermatologic Surgical Procedures
  • Female
  • Humans
  • Pain
  • Pregnancy
  • Surgical Wound Infection
  • Suture Techniques*
  • Sutures