ArticlePregnancy (Hoboken, N.J.)2025
Post-cesarean skin closure with metal staples versus subcuticular suture in obese patients: A systematic review and meta-analysis of randomized controlled trials.
Article in Pregnancy (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Obese pregnant individuals (BMI ≥ 30 kg/m Methods: We conducted a systematic search of MEDLINE, EMBASE, Scopus, Web of Science, and gray literature sources from inception through November 2022. Randomized trials comparing metal staples with sutures for wound closure in obese individuals after cesarean delivery were included. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using a random-effects model. Prediction intervals estimated the range of potential future study results, and fragility indices assessed result robustness. The primary outcome was wound complications, defined as surgical site infection, wound separation, or hematoma/seroma formation. Secondary outcomes included surgical site infection and wound separation. Results: Of 10,132 articles identified, 8 were included in the meta-analyses. Wound closure with metal staples was not associated with an increased probability of wound complications compared to suture (8 articles, 1748 pregnancies; OR, 1.20; 95% CI, 0.69-2.09; FI 20). Wound closure with metal staples decreased odds of surgical site infection (4 articles, 726 pregnancies; OR 0.47; 95% CI, 0.26-0.84; FI 1). There was no difference in the likelihood of wound separation between skin closure with metal staples versus subcuticular suture (4 articles, 726 pregnancies; OR, 0.98; 95% CI, 0.59-1.63; FI 15). Conclusion: In this meta-analysis, no significant differences were observed in the odds of wound complications, surgical site infection, or wound separation between metal staples and subcuticular sutures for post-cesarean skin closure in obese patients, supporting the consideration of either method.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.