Comparison of Different Suture Techniques

Abstract

ÖzetAmaç: Travmalar acil servise sık başvuru nedenlerindendir. Sütür, skalp kesisi olan hastaların tedavisinde sıklıkla gereklidir. Bu çalışmada skalp kesisi olan hastalarda farklı sütür tekniklerinin yara iyileşmesi, hasta memnuniyeti ve maliyet üzerine etkisinin araştırılması amaçlanmıştır. Gereç ve Yöntem:Çalışmaya toplam 60 hasta alındı. Hastalar geleneksel sütür (Grup 1), stapler (Grup 2) ve doku yapıştırıcı grubu (Grup 3) olarak üç gruba ayrıldı. Grupların karşılaştırılmasında χ 2 ve Kruskal-Wallis testleri kullanıldı. p<0.05 değeri istatistiksel olarak anlamlı kabul edildi. Bulgular: Hastaların 2/3'ü erkekti. En fazla hasta memnuniyeti 3. gruptaydı (p<0.05). Maliyet açısından en ucuzu doku yapıştırıcılardı (p<0.05). Tartışma: Yaygın geleneksel inanışın tersine doku yapıştırıcı ve stapler gibi alternatif sütür teknikleri pahalı değildir. En fazla hasta memnuniyeti doku yapıştırıcı kullanılan gruptaydı. Anahtar KelimelerAcil; Stapler; Doku Yapıştırıcı Abstract Aim: Traumas are frequent causes of presentation to emergency departments. Suturing is usually required in treatment of patients with scalp laceration. This study aimed to investigate different suture methods with respect of patient satisfaction, wound healing, and treatment cost in patients with scalp laceration. Material and Method: A total of 60 patients were included in the study. The patients were divided into 3 groups; traditional suturing (Group 1), stapling (Group 2), and the tissue adhesive (Group 3) groups. ChiSquare and Kruskal-Wallis tests were used for comparison of the groups. A p value less than 0.05 was considered statistically significant. Results: Twothirds of the patients were male. The patient satisfaction was highest in the Group 3 (p<0.05). Tissue adhesive group had the lowest treatment cost (p<0.05).Discussion: In contrast to existing traditional belief, the alternative suture methods, i.e. tissue adhesives and staples are not expensive. The patient satisfaction was highest in the tissue adhesive group.

Practice of Wound Closure Techniques among Emergency Physicians and Surgeons in Makkah City Hospitals in Saudi Arabia

“…3 The use of staplers in closing scalp wounds has more advantages than the use of simple interrupted sutures in regard to patient satisfaction, wound healing, and concerning cost. 5 However, in our study, only 5.20% of the participants chose staplers when treating scalp wounds, while 77.90% opted for the simple interrupted technique despite it not being considered the best method of treating scalp wounds according to previous studies. 6 Moreover, many different suturing materials can be used on a wide variety of wound types, apart from the most suitable types of material.…”

“…One such study investigated a variety of techniques in relation to patient satisfaction, wound healing, and treatment cost in patients with a scalp laceration, finding that there are many alternatives (e.g., adhesions and staples) that have more advantages than simple suturing. 5,6 Other studies showed that cosmetic pleasing and patient satisfaction (which tend to be significantly heightened in horizontal wounds and running subcuticular suture techniques in contrast with the traditional simple interrupted method) are considered essential factors that assess the effect of the suture technique. [7][8][9] Another randomized controlled trial reviewed subcuticular versus interrupted skin suturing, comparing the superficial incisional surgical site infection rate after cesarean section (CS) in obese women.…”