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December 2009 · Vol. 21, No. 12

Comment & Controversy

Study overlooked the best
skin-closure method

ARE STAPLES OR SUTURES BETTER FOR CLOSING THE SKIN AT CESAREAN DELIVERY? AARON B. CAUGHEY, MD, PHD (EXAMINING THE EVIDENCE, JULY)

I read Dr. Caughey’s commentary on the study of sutures versus staples for skin closure at cesarean delivery with much interest. However, I was disappointed that the material that produces the most attractive closure, that is easiest to place, and that causes the least amount of pain was not included in the study. The material I am speaking of is 3-0 Prolene suture. Instead, the study focused on 4-0 Monocryl suture versus staples.

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