DermabondTM PrineoTM skin closure system in caesarean section: Preliminary experience and review of the literature

Background: Caesarean Section is one of the commonest abdominal surgeries performed worldwide. The reported incidence surgical site infection in this procedure ranges between 1 and 21%. Four items have been found to an impact on problem: skin disinfection, antibiotic prophylaxis, placental manual extraction closure technique. Concerning last item, a new closing system, Dermabond™ Prineo™, has become available recently. We wanted test, preliminary study high-risk group patients, whether system could be introduced our routine comparing it gold standard (subcuticular stitches).Methods: randomly selected thirteen women undergoing both elective urgent c-section from January June 2022. To reduce variability all closures were by same surgeon (ADP), experienced obstetrician. Wounds checked day after intervention (C1), patient discharge (third c-section, C3), ten days surgery (C10) twenty (C20) external physician. A cost analysis was also performed.Results: All but case did not develop SSI at C10 (7.7% incidence). only resulted complete healing 7-day course therapy. cases presented with minimal diastasis requiring no further treatment. reduced operating time resulting use device saving nearly 200€ per patient. Conclusion: Our results show that potential application for wall C-section. It least equivalent suture method but, being undoubtedly faster saving. Further studies higher number patients are needed confirm these observations.