Comparison of Subcuticular and Interrupted Suturing Methods for Skin Closure After Appendectomy: A Randomized Controlled Trial

Abstract

Background: Confirmed evidences on superiority of subcuticular suturing compared to interrupted suturing method, in terms of postoperative complications such as wound infection, size of scar, or abscess formation is few. Objectives: The present study aimed to compare absorbable subcuticular suturing supported with Steri-Strips™ to interrupted nonabsorbable suturing method after appendectomy. Methods: In a randomized controlled trial, seventy patients with the diagnosis of acute appendicitis at Besat hospital, Hamadan University of Medical Sciences, Iran in the year 2016 were enrolled in the study and were randomly assigned into two groups. In the case group (n = 35), the wound suturing was done using subcuticular suturing supported by Steri-Strips™ and in the control group (n = 35), suturing was performed using interrupted mattress suture. All patients were visited at postoperative day one, seven, thirty and ninety. Results: The width of the scar and the mean of severity of pain score at postoperative day seven in the case group were significantly

WITHDRAWN: Analysis of the effectiveness of wound closure techniques among surgeons and emergency physicians in Mecca Hospitals: Retrospective Cohort Study.

“…Other studies showed that cosmetic pleasing and patient satisfaction, which they are signi cantly better in the running horizontal matters and running subcuticular sutures technique than the traditional simple interrupted, are considered essential factors that assess the effect of the suture technique. (7,8,9).…”

WITHDRAWN: Analysis of the effectiveness of wound closure techniques among surgeons and emergency physicians in Mecca Hospitals: Retrospective Cohort Study

“…Other studies showed that cosmetic pleasing and patient satisfaction which they signi cantly better in the running horizontal matters and running subcuticular sutures technique than the traditional simple interrupted-are considered as important factors that assess the effect of the suture technique. (6,7,8).…”

To stitch or not to stitch: the skin closure of laparoscopic port sites, a meta-analysis

“…A RCT of 100 patients undergoing open heart surgery compared closure of skin in sternotomy wounds with either transcutaneous or subcuticular suture methods and found infection rates to be increased with subcuticular sutures (2% vs 16%, p = 0.016) and to have no difference in cosmesis [ 27 ]. Another RCT of 70 patients conducted on open appendicectomy wounds found that the width of the scar, and pain at day seven postoperatively were decreased in subcuticular closure, and patient satisfaction was increased in the subcuticular group [ 28 ]. No difference was found in wound complications; however, the study was not powered to detect this.…”

“…While the current low-quality evidence demonstrates that transcutaneous sutures show decreased rates of complications, this should be balanced with the burden on the individual patient and the healthcare system to have sutures removed postoperatively. This may account for the decreased patient satisfaction and increased pain at day seven, demonstrated in the study by Javadi et al [ 28 ].…”