The Advantages and Disadvantages of Skin Staple Suture Compared with Traditional Suture in Brain Surgery in Primary Hospital: A Randomized Controlled Study

Abstract

Objective: This paper aims to compare the effect of skin staple suture and traditional silk suture in scalp suture surgery. Methods: A total of 80 craniocerebral surgery patients were included in this study, and the patients were randomly divided into observation group and control group, with 40 cases in each group. The observation group used disposable skin stapler to suture the scalp incision, and the control group used conventional silk suture to suture the incision. Statistical analysis was carried out on 6 indicators including suturing speed, healing under-scab, incision necrosis, incision cerebrospinal fluid (CSF) leakage, incision infection, and postoperative “centipede-shaped” scar incidence rate of the two suture methods. Results: There was no significant difference between the groups in terms of postoperative healing underscab, incision necrosis, incision CSF leakage, and intracranial infection (P > 0.05). The suturing speed in the observation group was 15.2 ± 0.7 cm/min, which was significantly faster than 7.4 ± 0.3 cm/min in the control group (P < 0.05). The incidence of “centipede-shaped” scars in the observation group was significantly lower than that in the control group at 1 to 6 months after operation (P < 0.05). Conclusion: Compared with traditional silk suture, skin staple suture has obvious advantages in suture speed and cosmetic effect.