A prospective study on vertical mattress suture and subcuticular suture skin closure techniques in inguinal hernia repair cases
Keywords:Vertical mattress, Subcuticular, Suture, Inguinal hernia, Prospective study
Background: Sutures are used to keep tissues in place until enough healing has taken place to produce endogenous wound strength. The method of closure should be quick, simple, affordable, and successful while maximizing the cosmetic of the wound and patient outcomes. So, this study was an attempt to compare subcuticular and vertical mattress suture techniques in inguinal hernia repair.
Methods: A prospective study was carried out among patients posted for inguinal hernia repair. The wound closure of the first 25 patients was done using a subcuticular suture and another by classical vertical mattress suture. Duration required for wound closure, complications, postoperative pain and cosmesis were assessed and analyzed using descriptive and inferential statistics.
Results: The duration required for wound closure was higher in the subcuticular suture compared with the classical vertical mattress suture. There was no significant difference in post-operative pain, wound complications and wound cosmesis in both groups.
Conclusions: Among cases with inguinal hernia repair there was no superiority in subcuticular and classical vertical mattress sutures from the patient side.
Jadav KJ. A comparative study of vertical mattress vs sub-cuticular stitches in type 1 surgery. JPSBR. 2014; 4(1):106-9.
Dobrin PB. Suture selection for hernia repair. In: Bendavid R, Abrahamson J, Arregui ME, Flament JB, Phillips EH, eds. Abdominal wall hernias: principles and management. New York, NY: Springer; 2001: 237-45.
Krunic AL, Weitzul S, Taylor RS. Running combined simple and vertical mattress suture: a rapid skin-everting stitch. Dermatol Surg Publ Am Soc Dermatol Surg Al. 2005;31(10):1325-9.
Zhang W, Xie J, Zeng A. The origin and development of interrupted subcuticular suture: an important technique for achieving optimum wound closure. Dermatol Surg Publ Am Soc Dermatol Surg Al. 2022;48(6):619-24.
Varatharaj A, Ashford C, Steinlechner C. A quick and simple knot-free subcuticular suture. Ann R Coll Surg Engl. 2007;89(5):532.
Luo W, Tao Y, Wang Y, Ouyang Z, Huang J, Long X. Comparing running vs interrupted sutures for skin closure: A systematic review and meta-analysis. Int Wound J. 2022;3:32-8.
Patel KMR. Comparison between interrupted vertical mattress suture versus skin stapler versus subcuticular suture for skin closure in clean surgery. IJRRJ. 2014; 3(3):164-8.
Zuber TJ. The Mattress Sutures: Vertical, Horizontal, and Corner Stitch. Am Fam Physic. 2002;66(12): 2231-6.
Haribabu A. A comparitive study of two skin closure techniques subcuticular monocryl and vertical mattress suture in cases posted for inguinoscrotal surgeries. Int Wound J. 2019;18(6):43-52.
Joshi D, Gajria K, Dixit S, Saroshe S. A comparative study of subcuticular versus three mattress sutures for pfannenstiel skin closure in obstetrics and gynaecological surgeries. Dermatol Surg Publ Am Soc Dermatol Surg Al. 2016;3:410-3.
Ghag GS. A comparative study of stapled vs subcuticular vs simple interrupted closure of inguinal hernia incision. J dent Med Sci. 2016;15(9):97-105.
Narahari P, Atluri A. A comparative study on the outcome of mattress sutures and subcuticular sutures in caesarean and hysterectomy in obese patients. Int J Reprod Contracept Obstet Gynecol. 2021;10(3):935-8.
R SB, Nair RV, Pillai JTM. Comparison between Interrupted vertical mattress suture versus subcuticular suture for skin closure in caesarean section at SMIMS. Int J Res Rev. 2016;3(2):33-6.