Comparative study between skin suture versus skin stapler in abdominal surgery
DOI:
https://doi.org/10.18203/2349-2902.isj20230960Keywords:
Abdominal surgery, Skin stapler, SuturingAbstract
Background: Through the age’s man sought for methods of binding wounds to promote healing. In olden days various things were used by surgeons but the secret to achieve a good wound healing lies in meticulous tissue dissection followed by selection of suture material, methods of wound closure and postoperative complications. Staplers were originally developed to address the perceived problem of patency i.e., security against leaks of blood or bowel contents in anastomosis in particular but now. It is widely accepted that both sutures and staples can achieve the basic goals of skin wound closure.
Methods: Patients admitted under various surgical units from December 2020 to June 2022 at Mamata Medical College and Hospital, Khammam. A study was carried out with 50 patients undergoing laparotomy electively and emergency.
Results: Skin approximation was much faster with staple as compared to sutures. Post-operative SSI was more common with skin suture group as compared with staples. Cosmetic appearance of the scar was found to be superior in staple group in comparison to conventional suturing group.
Conclusions: The results of the study indicate that skin closure by stapler can be preferred over conventional skin suture.
Metrics
References
Schwartz S, Brunicardi F. Schwartz’s principles of surgery. 10th edn. New York: McGraw-Hill Medical; 2015.
Bailey l. Bailey and Love’s short practice of surgery. 26th edn. Hodder Arnold; 2013:34-35.
Imamura K, Adachi K, Sasaki R, Monma S, Shioiri S, Seyama Y, et al. Randomized comparison of subcuticular sutures versus staples for skin closure after open abdominal surgery: a multicenter open-label randomized controlled trial. J Gastroint Surg. 2016;20:2083-92.
Doctor HG. Surgeons and sutures. 2nd edn. USA: Ethicon; 1999.
Köckerling F, Köckerling D, Lomas C. Cornelius Celsus- ancient encyclopedist, surgeon-scientist, or master of surgery?. Langenbeck’s Arch Surg. 2013;398:609-16.
Stockley I, Elson RA. Skin closure using staples and nylon sutures: a comparison of results. Ann R Coll Surg Engl. 1987:69:76-8.
Campwala I, Unsell K, Gupta S. A systematic review of surgical infection scoring systems used in surgical patients. JBI Libr Syst Rev. 2011;9(60):2627-83.
Singer AJ, Arora B, Dagum A, Valentine S, Hollander JE. Development and validation of a novel scar evaluation scale. Plast Reconstruct Surg. 2007;120(7):1892-7.
Chavan DR, Metan BB, Kadlewad S, Bharath S. Study of skin staples and conventional sutures for abdominal clean wound skin closure: a randomized control trial. J Evol Med Dent Sci. 2014;3(20):5626-37.
Naireen N, Raghavan RM, Parambil SM. A comparative study of skin staplers with skin sutures in abdominal skin wound closure in gastrointestinal malignancy- an institutional study. J Evid Based Med Health. 2016;3(30):1356-9.
Newman JT, Morgan SJ, Williams AE, Resende JV, Dayton MR. Total hip arthroplasty and surgical wound closure: sutures versus staples. Orthoped Muscul Syst. 2013;02(03).
Kanegaye J, Vance C, Chan L, Schonfeld N. Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations: a randomized study of cost and time benefits. J Pediatr. 1997;130(5):808-13.
dos Santos LR, Freitas CA, Hojaij FC, Araújo Filho VJ, Cernea CR, Branda LG, Ferraz AR. Prospective study using skin staplers in head and neck surgery. Am J Surg. 1995;170(5):451-2.
Ranaboldo C, Rowe-Jones D. Closure of Iaparotomy wounds: skin staples versus sutures. Br J Surg. 1992;79(11):1172-3.
Eldrup J, Wied U, Anderson B. Randomised trial comparing proximate stapler with conventional skin closure. Acta Chirurg Scand. 1981;147:501-2.
Karbhari S, Patil R, Bhavikatti A. Study of skin staples and conventional suture for abdominal skin wound closure. Int J Biomed Adv Res. 2012;3(7).