The study will evaluate the ZipLine Medical Surgical Skin Closure device (Zip)versus sutures when utilized for skin layer closure during wound closure of Cesarean Section Procedure.
Cesarean-section birth is a very invasive surgical procedure. While the desired outcome focuses primarily on the successful delivery of a healthy baby and maintenance of the mother's health, the surgery involves a complex surgical closure process, starting with the uterus, and progressing through several layers of traditionally suture closure in several tissue planes. A successful closure results in no surgical site complications, with good patient comfort and a minimal scar being a desired outcome. Conventional skin closure methods such as sutures are effective but have drawbacks. It has been suggested that the ideal method of wound / incision closure should be: * fast * non-traumatic * minimally or non-invasive * associated with a low incidence of adverse events such as dehiscence and infection * yielding acceptable cosmetic results ZipLine Medical, Inc. is a Campbell, California-based company that has developed a novel, non-invasive skin closure device called Zip Surgical Skin Closure to replace sutures, staples and glue for closure of the skin layer for surgical incisions or laceration repair. In the USA, the device has been classified by the FDA as a Class I, 510(k) Exempt device and began commercial use in the USA in April 2013. The ZipLine Device has been clinically demonstrated benefits include (references included later in this document): * Closure speed faster/superior to (and less variable compared to) sutures * Suture-like cosmetic outcome * Reduction in post-surgical care costs * Fewer closure-related wound issues * Greater patient satisfaction
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
The Zip Surgical Skin Closure Device will be used for surgical wound closure in C-Section Surgery
Conventional Sutures will be used for surgical wound closure in C-Section Surgery
Sheba Medical Center
Tel Litwinsky, Israel
RECRUITINGTime of Procedure Closure
Upon closure of the Cesarean incision - Zip or Suture touches skin to close incision
Time frame: Procedure Closure - Zip or Suture touches skin until skin is closed
Cosmetic Visual Analogue Scale (CVAS)
100-mm Cosmetic Visual Analogue Scale (CVAS) for incision appearance
Time frame: 3 months
Surgeon Closure Method Satisfaction
Satisfaction with closure method, scar appearance
Time frame: Procedure, 3-5 days, 3 months
Patient Closure Method Satisfaction
Satisfaction with closure method, scar appearance
Time frame: 3-5 days, 14 days, 3 months
Patient Pain and Discomfort by Subject Questionnaire
Pain associated with the closure method and level of discomfort during use will be asked by questionnaire
Time frame: 3-5 days, 14 days, 3 months
Incidence and severity of Adverse Events
The incidence and severity of adverse events (AE) associated with Zip device and control will be evaluated
Time frame: Procedure, 3-5 days, 14 days, 3 months
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