scholarly journals A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Rukiyat Adeola Abdus-Salam ◽  
Folasade Adenike Bello ◽  
Oladapo Olayemi
Keyword(s):  
Caesarean Section ◽  
Wound Closure ◽  
Operation Time ◽  
Skin Closure ◽  
Subcuticular Suture ◽  
Wound Closure Techniques ◽  
Patients Satisfaction ◽  
Skin Staples ◽  
Scar Assessment ◽  
Suture Group

This study aimed to compare patients’ satisfaction and outcome of caesarean section wound closure by skin staples and subcuticular suture at discharge and 6 weeks of postoperation. It was a randomized controlled trial of pregnant women scheduled for caesarean section at the University College Hospital, Ibadan, Nigeria, allocating them to wound closure by skin staples or subcuticular suture. Pain was assessed using the box numeric pain scale. Scar assessments were by patient, research nurse, and independent observers using the visual analogue scale, modified patient observer scar assessment scale, and patient satisfaction scale. Operation time (minutes) was significantly shorter in the staple group, 40.26 (±16.53) compared to 47.55 (±14.55) in the suture group (P=0.025). Skin closure time (seconds) was significantly less in the staple group, 118.62 (±69.68) versus 388.70 (±170.40) in the suture group (P≤0.001). There was no difference in pain experienced, wound assessment by the participants, and patients’ satisfaction. Participants in the staple group scored higher on both scar assessment scales by the nurse (P=0.044). Cost comparison analysis showed that staple use costs significantly more than suture use (P<0.001). The perceived benefit of subcuticular suture over skin staples was not observed and participants were satisfied with both wound closure techniques.

scholarly journals Skin stapler versus sutures in abdominal wound closure

2017 ◽  
Vol 4 (9) ◽  
pp. 3062
Author(s):  
Fobin Varghese ◽  
Jose Gamalial ◽  
John S. Kurien
Keyword(s):  
Wound Infection ◽  
Wound Closure ◽  
Visual Analogue Score ◽  
P Value ◽  
Skin Closure ◽  
Chi Square ◽  
Skin Staples ◽  
Suture Group ◽  
Study Population

Background: Wound closure is as important as any other action performed by the surgeon. Apart from the need for producing a healthy and strong scar, it is the surgeon’s responsibility to ensure its aesthetically pleasing physical appearance. Skin staples are an alternative to regular sutures in offering this advantage. The present study has helped to highlight the benefits of skin stapler.Methods: Out of the 120 participants, 60 underwent skin closure with Stainless steel skin staples and the remaining 60 with non-absorbable Polyamide mattress sutures randomly. They all received one mandatory dose of pre-operative parenteral antibiotic 1 hour prior to the incision. On the 3rd postoperative day, the wound was evaluated for inflammation, infection and wound gape. Participants were re-evaluated for infection/gape/inflammation during follow-up on 7th day. The wounds were evaluated at 1 months follow up which were rated for cosmesis by Visual Analogue Score. The data was coded and entered in Microsoft excel and then analysed using statistical software SSPS.Results: Study population consisted of 79 males (65.8%) and 41 females (34.2%). Mean age of the study population was 49.35 with an SD 16.739. Wound infection was found to be higher in stapler group (30%) when compared to conventional suture group (11.7%)which was found to be statistically significant with chi-square value 6.114 and p value 0.013. Mean time for closure was significantly shorter in stapler group 4.55 minutes, when compared to suture group (11.22 minutes). Better cosmetic outcome was observed in conventional suture group.Conclusions: Preventing wound infection, especially in abdominal wounds, is of importance as it may lead to wound gaping. Incidence of post-operative wound infection was more with skin staples. Cosmesis is essential and important aspect in this day and age. A cosmetic scar not only gives satisfaction to the patient but also mental ease to the surgeon. Conventional sutures provided better cosmetic result when compared with skin staplers.

Comparison of wound closure techniques in median sternotomy scars in children: subcuticular suture versus Steri-Strip™ S

2019 ◽  
Vol 53 (3) ◽  
pp. 161-166
Author(s):  
Annekatrien L. van de Kar ◽  
David R. Koolbergen ◽  
Janne P. H. van Avendonk ◽  
Chantal M. A. M. van der Horst
Keyword(s):  
Wound Closure ◽  
Median Sternotomy ◽  
Subcuticular Suture ◽  
Wound Closure Techniques

scholarly journals Skin Staples: A Safe Technique for Securing Mesh in Lichtensteins Hernioplasty as Compared to Suture

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Anand Munghate ◽  
Sushil Mittal ◽  
Harnam Singh ◽  
Gurpreet Singh ◽  
Manish Yadav
Keyword(s):  
Mesh Fixation ◽  
Operating Time ◽  
Operation Time ◽  
Skin Closure ◽  
Skin Staples ◽  
Group I ◽  
Lichtenstein Hernia Repair ◽  
Duration Of Surgery ◽  
Group Ii ◽  
Polypropylene Sutures

Background.Lichtenstein tension free repair is the most commonly used technique due to cost effectiveness, low recurrence rate, and better patient satisfaction. This study was done to compare the duration of surgery and postoperative outcome of securing mesh with skin staples versus polypropylene sutures in Lichtenstein hernia repair.Materials and Methods.A total of 96 patients with inguinal hernia undergoing Lichtenstein mesh repair were randomly assigned into two groups. The mesh was secured either by using skin staples (group I) or polypropylene sutures (group II).Results.The operation time was significantly reduced from mesh insertion to completion of skin closure in group I (mean 20.7 min) as compared to group II (mean 32.7 min) with significantPvalue(P<0.0001)and less complication rate in group I as compared to group II.Conclusion.Mesh fixation with skin staples is as effective as conventional sutures with added advantage of significant reduction in the operating time and complications or recurrence. The staples can be applied much more quickly than sutures for fixing the mesh, thus saving the operating time. Infection rate is significantly decreased with staples.

A Single Blind, Prospective, Randomized Trial Comparing N-Butyl 2-Cyanoacrylate Tissue Adhesive (Indermil) and Sutures For Skin Closure in Hand Surgery

2001 ◽  
Vol 26 (3) ◽  
pp. 264-265
Author(s):  
S. SINHA ◽  
M. NAIK ◽  
V. WRIGHT ◽  
J. TIMMONS ◽  
A. C. CAMPBELL
Keyword(s):  
Randomized Trial ◽  
Wound Closure ◽  
Hand Surgery ◽  
Demographic Characteristics ◽  
Tissue Adhesive ◽  
Skin Closure ◽  
Tissue Viability ◽  
Treatment Groups ◽  
Suture Group ◽  
Single Blind

Fifty patients underwent a variety of hand operations and were randomized for wound closure either with tissue adhesive (Indermil) or sutures. The two treatment groups had similar demographic characteristics and similar outcomes at the 2 and 6 week postoperative assessments which were performed by a designated tissue viability nurse blinded to the method of closure. Five minor wound dehiscences occurred: three in the adhesive group and two in the suture group. No infection occurred in either group. In conclusion, the study demonstrates tissue adhesive is as effective as suture in this type of hand surgery.

scholarly journals Adhesive strips as the sole method for skin closure is effective in total knee arthroplasty

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901987398 ◽  
Author(s):  
Varah Yuenyongviwat ◽  
Khanin Iamthanaporn ◽  
Pakjai Tuntarattanapong ◽  
Kantapon Dissaneewate ◽  
Preyanun Tangjatsakow ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Tissue Reaction ◽  
Skin Closure ◽  
Retrospective Case ◽  
Superficial Infection ◽  
Subcuticular Suture ◽  
Care Protocol ◽  
Suture Group ◽  
Total Knee

Objective: Adhesive strips are used as the sole method for skin closure in many operations except total knee arthroplasty. The claims are decreased wound closure time, less tissue reaction, and lack of stitch marks. The purpose of this study was to compare the efficacy of closure using adhesive strips versus running subcuticular stitches. Methods: This study was a retrospective case-matched study. Running subcuticular stitches or adhesive strips were used for skin closure in 151 and 137 patients, respectively. All of the patients had an operation by a single surgeon and had the same patient care protocol. All of the patients were evaluated postoperatively for wound complication at 2 weeks, 6 weeks, and 3 months follow-up. Results: The wounds of most patients in both groups had healed. The incidence of superficial infection was not different between the groups (1.32% in the running subcuticular suture group and 1.46% in the adhesive strip group) ( p = 0.92). One case (0.66%) in the running subcuticular suture group had deep infection, which required reoperation ( p = 0.34). The patients in the running subcuticular suture group had higher unabsorbable sutures, which required further removal compared to the adhesive strip group ( p < 0.001). Conclusion: The use of adhesive strips is an effective skin closure method with a low rate of infection and skin complications. This technique is easy and there is no need for suture removal. Furthermore, there are no stitch marks and the cost of suturing is lower.

scholarly journals Which is better for pfannensteil skin incision closure in caesarean section? Interrupted mattress suture or continuous subcuticular suture

2020 ◽  
Vol 9 (9) ◽  
pp. 3711
Author(s):  
Shridevi A S. ◽  
Madhusoodana R. Bhovi ◽  
Prema Prabhudeva ◽  
Renuka . ◽  
Camelia Maitra
Keyword(s):  
Patient Satisfaction ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Wound Closure ◽  
Wound Dehiscence ◽  
Skin Wound ◽  
Wound Complications ◽  
Skin Closure ◽  
Pain Level

Background: Caesarean delivery is one of the most commonly performed operations in obstetrics. Postoperative comfort of the woman largely depends on the method of skin closure. Wound complications from caesarean delivery such as dehiscence or infection cause a significant emotional and economic burden in obstetric care. There are many methods and techniques for skin wound closure in caesarean section. Each technique has its own advantages and disadvantages. The aim and objective of this study was to compare the wound outcomes in Pfannensteil incisions closed with mattress sutures using nonabsorbable suture and subcuticular sutures using absorbable sutures in caesarean deliveries.Methods: It is a prospective observational study done on 216 consecutive pregnant women who were admitted to labor room for elective or emergency caesarean section. Patients undergoing caesarean section with Pfannensteil incision between February 2019 to October 2019 were included in this study. Among 216 women, 108 women had mattress sutures and 108 women had subcuticular sutures for skin wound closure. The primary outcome studied was wound complications including erythema, wound dehiscence, burst abdomen, infection and pain which was studied on postoperative day 3-7. The secondary outcome was assessed at 6 weeks follow-up in terms of pain, cosmetic appearance of scar and patient satisfaction about scar.Results: A total of 216 pregnant women undergoing caesarean section were studied who had similar baseline characteristics and risk factors. However, women with previous caesarean section were more in mattress group. The overall incidence of erythema, surgical site infection, wound dehiscence, resuturing and pain was more in mattress group and was statistically significant. During follow-up at 6 weeks, women with subcuticular sutures had cosmetically better scar and more satisfied with their scars than women with mattress sutures but the pain level was same in both groups.Conclusions: Authors conclude that compared to mattress sutures, subcuticular sutures cause significantly fewer wound complications and pain in postoperative period. Also, subcuticular sutures are associated with cosmetically appealing scars and higher patient satisfaction. But there was no difference in pain level at 6 weeks in both methods of skin closure.

scholarly journals Skin and subcutaneous fascia closure at caesarean section to reduce wound complications: the closure randomised trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Amanda J. Poprzeczny ◽  
Rosalie M. Grivell ◽  
Jennie Louise ◽  
Andrea R. Deussen ◽  
Jodie M. Dodd
Keyword(s):  
Caesarean Section ◽  
Wound Infection ◽  
Randomised Trial ◽  
Skin Closure ◽  
Absorbable Suture ◽  
Group 4 ◽  
Suture Group ◽  
Group 3 ◽  
Group 2 ◽  
Fascia Closure

Abstract Background Wound infection is a common complication following caesarean section. Factors influencing the risk of infection may include the suture material for skin closure, and closure of the subcutaneous fascia. We assessed the effect of skin closure with absorbable versus non-absorbable suture, and closure versus non-closure of the subcutaneous fascia on risk of wound infection following Caesarean section. Methods Women undergoing caesarean birth at an Adelaide maternity hospital were eligible for recruitment to a randomised trial using a 2 × 2 factorial design. Women were randomised to either closure or non-closure of the subcutaneous fascia and to subcuticular skin closure with an absorbable or non-absorbable suture. Participants were randomised to each of the two interventions into one of 4 possible groups: Group 1 - non-absorbable skin suture and non-closure of the subcutaneous fascia; Group 2 - absorbable skin suture and non-closure of the subcutaneous fascia; Group 3 - non-absorbable skin suture and closure of the subcutaneous fascia; and Group 4 - absorbable skin suture and closure of the subcutaneous fascia. The primary outcomes were reported wound infection and wound haematoma or seroma within the first 30 days after birth. Results A total of 851 women were recruited and randomised, with 849 women included in the analyses (Group 1: 216 women; Group 2: 212 women; Group 3: 212 women; Group 4: 211 women). In women who underwent fascia closure, there was a statistically significant increase in risk of wound infection within 30 days post-operatively for those who had skin closure with an absorbable suture (Group 4), compared with women who had skin closure with a non-absorbable suture (Group 3) (adjusted RR 2.17; 95% CI 1.05, 4.45; p = 0.035). There was no significant difference in risk of wound infection for absorbable vs non-absorbable sutures in women who did not undergo fascia closure. Conclusion The combination of subcutaneous fascia closure and skin closure with an absorbable suture may be associated with an increased risk of reported wound infection after caesarean section. Trial registration Prospectively registered with the Australian and New Zealand Clinical Trials Registry, number ACTRN12608000143325, on the 20th March, 2008.

scholarly journals A Randomized Controlled Trial of Running Versus Interrupted Subcuticular Sutures for Skin Closure in Open Gastric Surgery

2018 ◽  
Vol 103 (5-6) ◽  
pp. 305-314
Author(s):  
Kentaro Inoue ◽  
Taku Michiura ◽  
Junichi Fukui ◽  
Hiromi Mukaide ◽  
Takashi Ozaki ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Performance Status ◽  
Gastrointestinal Surgery ◽  
Distant Metastases ◽  
Final Decision ◽  
Skin Closure ◽  
Time Saving ◽  
Subcuticular Suture ◽  
Scar Assessment ◽  
Significant Difference

Objective: The aim of this study was to compare the scar quality associated with different types of subcuticular suture techniques: running or interrupted. Summary of Background Data: Subcuticular suture is a preferred skin closure method even in gastrointestinal surgery. Two methods for subcuticular suture are used: running or interrupted sutures. Methods: Inclusion criteria were as follows: age ≥ 20 years; American Society of Anesthesiologists performance status 1 to 3; histologically proven adenocarcinoma of the stomach; no evidence of distant metastases or disease considered unresectable; no prior upper abdominal surgery; no uncontrolled infections, diabetes, or cardiac disease; and adequate renal function. Patients were randomly assigned to running subcuticular suture or interrupted subcuticular suture. Scar areas were calculated using a digital photograph calculator at about 7 months after surgery. The observer scar assessment scale (OSAS) was used for scar assessment. Results: Between April 10, 2009, and February 28, 2012, 220 patients were enrolled into this study and 201 patients were evaluated. There was no difference in scar area between the interrupted group and the running group [0.97 cm2 (95% CI: 0.73–1.21) in the interrupted group and 1.17 cm2 (95% CI: 0.91–1.42, P = 0.27) in the running group]. Three observers performed the OSAS, for which no significant difference was detected across the closure groups. Conclusions: There were no significant differences in cosmetic outcomes between running and interrupted subcuticular sutures. The final decision about the choice of method should be made balancing surgeon needs (time-saving with running) and surgeon techniques (running might be difficult).

scholarly journals A study of skin closure of surgical wound by subcuticular sutures with polyglactin 910 fast (rapide vicryl) in planned surgery

2018 ◽  
Vol 6 (10) ◽  
pp. 3370
Author(s):  
Ashwinkumar S. Gadhvi ◽  
Dhavalkumar A. Bhimani ◽  
Udit I. Gadhvi ◽  
Darshil K. Rajgor
Keyword(s):  
Wound Closure ◽  
Cost Effective ◽  
The Body ◽  
Cosmetic Result ◽  
Skin Closure ◽  
Absorbable Suture ◽  
Surgical Wound ◽  
Subcuticular Suture ◽  
Cosmetic Results ◽  
Minimal Scarring

Background: The skin is the largest and among the most complex organs of the body. Although the skin functions simply as a protective barrier to interface with our environment, its structure and physiology are complex. Suturing is commonly used today as a mean by which wounds are closed to prevent infection and fasten healing with minimal scarring. Cosmetic results of healed wound are also important and as awareness is increasing among general population, they are more concerned with cosmetic scar. Various techniques are developed to give cosmetically better scar, like subcuticular suture, adhesive tapes, staplers, etc.Methods: Study was randomized, prospective, observational and longitudinal including 100 patients, selected according to inclusion criteria.Results: Cosmetic result of the study were good; 87% patients were having good to excellent cosmetic results. And 13% patients were having scar which was cosmetically not good (scar was either hypertrophied or thickened). complication was not significant (only 3% having on post-operative day 5).Conclusions: Surgical wound closure with subcuticular suture with absorbable suture material gives excellent cosmetic results, cheaper and cost-effective compare to other technique of wound closure having similar cosmetic result. As the removal of suture is not required, no follow up visit needed, and it saves the extra time and expenditure of patient.

scholarly journals A comparative study of skin staples and conventional sutures for abdominal skin wound closures

2019 ◽  
Vol 6 (6) ◽  
pp. 2168
Author(s):  
Sagar S. Kathare ◽  
Nandkishor D. Shinde
Keyword(s):  
Wound Closure ◽  
Elective Surgery ◽  
Skin Wound ◽  
P Value ◽  
Cosmetic Results ◽  
Skin Staples ◽  
Surgical Wounds ◽  
Wound Pain ◽  
Suture Group ◽  
Patients Acceptance

Background: The objectives of the study were to study the operative time, the effect on wound healing, cosmetic results, patients acceptance and total cost with the use of sutures and staples.Methods: The study was conducted on 100 patients who were undergoing elective surgery from January 2016 to July 2017 in our institute. The patients were randomly selected to receive either suture or staple.Results: The study group included 50 patients who underwent wound closure by staplers and 50 patients underwent suturing. The commonest region of the surgical wounds was Mc Burneys site. The time taken for wound closure using staplers showed statistically significance difference over closure with suture, it took the stapler 4 times less duration to perform wound closure. The average cost of using stapler was higher than suturing. The appearance of the scar among the staple group was good in 90% of those who returned for follow-up at 1 month, 10% had average scar. The patients acceptance was better in staple group with less pain during removal as compared to suture group. P-value calculated using students unpaired T-test. P<0.0001 which was highly significant.Conclusions: Staples did not cause excess wound pain and allows saving in time with better cosmetic results.

Sign in / Sign up

Export Citation Format

Share Document