Evaluation of surgical staples in cesarean section

Gene Burkett, L. P. Jensen, A. Lai, M. J. O'Sullivan, S. Yasin, S. Beydoun, A. G.W. McLeod

Research output: Contribution to journalArticle

10 Scopus citations

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 appliciation 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 $2950. 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.

Original languageEnglish (US)
Pages (from-to)540-547
Number of pages8
JournalAmerican journal of obstetrics and gynecology
Volume161
Issue number3
DOIs
StatePublished - Sep 1989

Keywords

  • Absorbable staples
  • cesarean section

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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    Burkett, G., Jensen, L. P., Lai, A., O'Sullivan, M. J., Yasin, S., Beydoun, S., & McLeod, A. G. W. (1989). Evaluation of surgical staples in cesarean section. American journal of obstetrics and gynecology, 161(3), 540-547. https://doi.org/10.1016/0002-9378(89)90353-0