Study of Skin Staples and Conventional Suture for Abdominal Skin Wound Closure

Karbhari, S. S.; Patil, R . B.; Bhavikatti, Avinash K.

doi:10.7439/ijbar.v3i7.595

Cited by 4 publications

(8 citation statements)

References 4 publications

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“…In our study, time taken for the skin closure by staplers was significantly less than by suture which is in consistent with the other studies [7][8][9][10] . Use of staplers will thus shorten the duration of surgery and anesthesia on the patients considerably reducing the perioperative risk.…”

Section: Discussionsupporting

confidence: 93%

A Comparative Study between Staplers and Suture (Silk 2-0) for Skin Closure in Cesarean Sections at Gandaki Medical College Teaching Hospital

Jahan

Shrestha

Adhikari

et al. 2018

J. Gandaki Med. Coll. Nepal

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Background: Skin closure in the abdominal surgeries is an important factor that affects the prognosis of wound in terms of hospital stay as well as overall outcome of the surgery.Objectives: Cesarean section being the commonly performed operation, choice of suture material has the unexceptional role on it. This study has been performed with an objective to look for the merits and demerits of the skin closure by suture (Silk 2-0) and stapler.Methods: Prospective comparative study conducted among the patients admitted in a Maternity Ward of Gandaki Medical College Teaching Hospital for elective and emergency cesarean section. The comparison has been made in terms of time taken during the skin closure, presence or absence of soakage and wound dehiscence, day of suture removal and pain during the suture removal.Results: The average time taken for skin closure for suture group was found to be 5.46 min (±0.97) and the same for stapler group was found to be 1.22 min (±0.15) respectively. Similarly, the mean day of stitch removal in suture and staples were found to be 6.94 (±1.75) and 7.95 (±1.89) respectively. Surgical site infection (SSI) i.e. soakage was present in eight percent of those in suture group and 20% in stapler group. Wound dehiscence was present in two percent among the suture group and five percent among the stapler group. The severity of pain is more in stapler group than that of suture group during its removal.Conclusions: Our study concluded suture being superior to staplers for skin closure during cesarean section. Though time taken for the closure is less in the stapler group, other factors like wound complications, duration of hospital stay, pain during its removal favored for the suture to be used.J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page: 1-4

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Section: Discussionsupporting

confidence: 93%

A Comparative Study between Staplers and Suture (Silk 2-0) for Skin Closure in Cesarean Sections at Gandaki Medical College Teaching Hospital

Jahan

Shrestha

Adhikari

et al. 2018

J. Gandaki Med. Coll. Nepal

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“…Infection rates of the present study is comparable with studies of dos Santos et al while our infection rates were higher than Karbhari et al study with 8% in staples and 14% in sutures, Naireen et al study with 8% in staples group and 4% in sutures group and Chavan et al study with 4% in staples group and 16% in sutures group, as we have operated contaminated cases and expertise who dealt with skin suturing or stapling varies from internee to post graduate. 6,7,13,16 In present study Staphylococcus aureus was the most common organism that was grown in culture in both groups, with 2 cases in staples group and 3 cases in sutures group.…”

Section: Post Operative Wound Infection Ratesmentioning

confidence: 47%

Comparative study between skin suture versus skin stapler in abdominal surgery

Singh¹,

Chowdary²,

Reddy³

2023

Int Surg J

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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.

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“…[1][2][3][4][5] Average cost per wound closure was very high with staples v/s sutures, 2,6 tensile strength 7 and fibroblastic proliferation and collagination observed higher with sutures v/s staples.…”

Section: Resultsmentioning

confidence: 99%

“…stapling was three times faster than sutures. [1][2][3][4] In group 'A' two had redness, one swelling and one serous discharge, group 'B' one redness, two swelling and one serous discharge, wound dehiscence was zero in both groups. 1,3,5 Average cost to close a wound in group 'B' was Rs.…”

Section: Discussionmentioning

confidence: 99%

Incised surgical wound closure with sutures and staples: a controlled experimental study

Kochar

Singh

2015

Int Surg J

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Background: Development of newer techniques of surgical wound closure which are not associated with contamination. Aim is to evaluate advantages and disadvantages of skin closure with sutures and staples. Methods: A controlled experimental study was conducted on guinea pigs divided into two groups of 10 each in NIMS Medical College, Jaipur, in the year 2013. On 5 th POD signs of inflammation (redness, oedema), discharge (serous/seropurulent/purulent), dehiscence (partial or complete) was assessed. On 15 th POD sutures and staples were removed and a strip of scar tissue excised for measurement of tensile strength and histopathology of each wound. Results: Average time taken to close a wound in group 'A' 92.8 sec and in group 'B' 30.3 sec, in group 'A' two showed redness, one swelling & one serous discharge, in group 'B' one redness, two swelling and one serous discharge, tensile strength in group 'A' was 429.9 grams and in group 'B' 393.6 grams., average cost per wound closure was negligible in group 'A' whereas in group 'B' it was Rs. 160/-. There is paucity of literature correlating tensile strength of the healed wound in relation to histopathology of scar tissue. The results were very encouraging, that in group 'A' fibroblastic proliferation and collagination was +++, in group 'B' it was ++ & + respectively. Conclusions: Wound closure with staples is almost three times faster thus time saving but less tensile strength of scar tissue than with sutures. Kochar MP et al. Int Surg J. 2015 Aug;2(3):369-372 International Surgery Journal | July-September 2015 | Vol 2 | Issue 3 Page 370 A single longitudinal skin incision deep till deep fascia was created. Each wound was closed with plain interrupted silk sutures in group 'A' and with staples in group 'B' after achieving haemostasis. All wounds were closed by a single operator to get uniform results. Time taken for skin approximation was measured by an independent observer, wounds after cleaning with povidone-iodine lotion dry gauge dressing applied and covered with adhesive plaster to avoid damage to dressing by self or by other animals. Animals were kept in group of five in different cages. On 5 th POD signs of inflammation (redness, oedema), discharge (serous, seropurulent, purulent), dehiscence (partial, complete) was assessed. Keywords On 15th POD again after anaesthetising the guinea pigs sutures and staples removed, wound length measured and a strip of scar tissue excised from each wound and tensile strength measured by tensilometer. Wound thus created was again closed, dressed and guinea pigs returned to their cages. A block of scar tissue send for histopathology to see -fibroblast with their maturity stages, fibrocytes and their intermediate stages, neovascularisation, collagination, inflammatory cell type and quantity, inflammatory oedema, epithelialisation, gram's staining for bacterias etc.Kochar MP et al. Int Surg J. 2015 Aug;2(3):369-372 International Surgery Journal | July-September 2015 | Vol 2 | Issue 3 Page 371 DISCUSSIONGuinea p...

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Study of Skin Staples and Conventional Suture for Abdominal Skin Wound Closure

Cited by 4 publications

References 4 publications

A Comparative Study between Staplers and Suture (Silk 2-0) for Skin Closure in Cesarean Sections at Gandaki Medical College Teaching Hospital

A Comparative Study between Staplers and Suture (Silk 2-0) for Skin Closure in Cesarean Sections at Gandaki Medical College Teaching Hospital

Comparative study between skin suture versus skin stapler in abdominal surgery

Incised surgical wound closure with sutures and staples: a controlled experimental study

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