Strengths and Limitations
Thus far, the current study is the largest to compare two surgical
techniques for subcutaneous tissue closure during CD, sufficiently
large to assess infrequent outcomes between the study groups. The
retrospective nature of the study in nature carries some limitations. We
were unable to analyze other wound complications such as hematomas,
seromas, wound breakdown, and culture results, as these were not
adequately reported in the outpatient follow-up of these women. In
addition, since in many centers skin closure by sutures or dissolvable
staples is the standard of care today, these results may not be
generalizable for those practices though the surgical technique still
shows a significant decrease in SSI based on a single change in CD
steps.