A Comparative Study of Stapled Vs Subcuticular Vs Simple Interrupted Closure of Inguinal Hernia Incision

Ghag, Geeta; Shukla, Kamal S.; Karanjkar, Ankur; Shukla, Dhirajkumar B.

doi:10.9790/0853-15090197105

Cited by 3 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even though, the dehisced wounds eventually healed within 17days postoperatively by mixed intention healing. These findings are in accordance with those of Ghag et al, 35 where the highest number of wound complications occurred in the subcuticular group (46.7% of cases). It had also grade-III infection as a sequel of partial dehiscence.…”

Section: Discussionsupporting

confidence: 93%

An assessment of clinical, biometric, cosmetic and microscopic outcomes of four suture techniques for cutaneous closure of laparotomy wounds: an experimental study in rabbits

Abdelkhalek

Ali

et al. 2019

JDVAR

View full text Add to dashboard Cite

The purpose of this study is to identify a suture technique that provides superior cosmetic outcomes and proper wound healing for skin closure after midline laparotomy of small animals in a rabbit model. This study also attempts to clarify the role of selected four suture patterns in wound healing, wound complications, cosmetic impacts and histopathology on the laparotomy skin wound. Twenty four female rabbits of white New Zealand and California breeds were used for this experimental study. Four suture patterns were compared for cutaneous closure of a 7-cm midline laparotomy wound, classified as; buried continuous subcuticular-intradermal (BCSID), interrupted cruciate mattress (ICM), running horizontal mattress (RHM), and far-near-near-far (FNNF). The different groups were studied in terms of clinical findings, wound and suture biometrics, cosmetic assessment, microscopic examination, and statistical analysis. RHM presented a 'very good' cosmetic grade on a 6-element scale, clinically associated with rapid successful wound healing, and no complications. BCSID was superior in cosmetic terms among the tested groups where it showed an aesthetically 'excellent' score. However, the technique was not efficient enough to prevent wound dehiscence in some cases. ICM demonstrated a 'very good' cosmetic degree but was not functional enough to prevent invasive contamination or infection in certain instances. FNNF was the inferior among all groups in regards to the cosmetic outcomes but was characterized by successful, slowly-progressive healing. Suture-to-wound length (SL: WL) ratio of all groups seemed to have a correlation with the rate of wound dehiscence as wound dehiscence is unlikely to occur if a SL: WL ratio is more than 4:1. The microscopic results proved that the RHM suture pattern was the favourable technique. RHM can be concluded as the suture technique of choice for cutaneous closure of laparotomy wounds in small animals like rabbits. It serves as a compromise of high-quality cosmesis and optimal wound healing. The assessed suture techniques can be graded in a descending order from the superior to the inferior cosmetically as BCSID>RHM>ICM>FNNF, and histopathologically as RHM>FNNF>BCSID>ICM. Clinical trials are needed to be performed to validate and reproduce the outcomes of this study on canine and feline patients.

show abstract

Section: Discussionsupporting

confidence: 93%

An assessment of clinical, biometric, cosmetic and microscopic outcomes of four suture techniques for cutaneous closure of laparotomy wounds: an experimental study in rabbits

Abdelkhalek

Ali

et al. 2019

JDVAR

View full text Add to dashboard Cite

show abstract

“…Ghag et al in Mumbai among 90 hernia patients found that the least duration of time was needed to close the skin with a stapler 44.63 sec (±47.23), which was considerable when compared to the subcuticular group's 459.93 sec and the simple interrupted closure's 193.33 sec. 11 Subcuticular stitches required higher time which also shows the same results.…”

Section: Time Required For Skin Closuresupporting

confidence: 67%

A prospective study on vertical mattress suture and subcuticular suture skin closure techniques in inguinal hernia repair cases

Saranya

Padma²,

Manoj³

2022

Int Surg J

View full text Add to dashboard Cite

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.

show abstract

Assessment of local wound healing complications after groin surgery: a comparative study between two wound closure techniques

Ulasi

Ogundoyin

2020

Nigerian J Plast Surg

View full text Add to dashboard Cite

A Comparative Study of Stapled Vs Subcuticular Vs Simple Interrupted Closure of Inguinal Hernia Incision

Cited by 3 publications

References 18 publications

An assessment of clinical, biometric, cosmetic and microscopic outcomes of four suture techniques for cutaneous closure of laparotomy wounds: an experimental study in rabbits

An assessment of clinical, biometric, cosmetic and microscopic outcomes of four suture techniques for cutaneous closure of laparotomy wounds: an experimental study in rabbits

A prospective study on vertical mattress suture and subcuticular suture skin closure techniques in inguinal hernia repair cases

Assessment of local wound healing complications after groin surgery: a comparative study between two wound closure techniques

Contact Info

Product

Resources

About