I read with interest the article by Basha et al. Their manuscript has significant implication for patient care and clinical practice; however, absence of the following details questions the validity of their findings.

• 1

  There was a statistically significant difference with higher number of patients with repeat cesarean sections (50% vs 39.5%) and chorioamnionitis (9% vs 4%) in staple group. Since both of these criteria are associated with wound complications, it is important that these parameters are matched or a multivariate analysis done.

• 2

  Additionally, the day of removal of staples is equally important, particularly in patients with previous laparotomy or cesarean section. Previous surgical repair at surgical site is important for approximation of skin.

• 3

  Lastly, incidence of obesity and use of antibiotics and subsequent care of the patients, including length of hospital stay, is also not addressed in these patients.