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

Kochar, Mahinder Pal; Singh, S. P.

doi:10.18203/2349-2902.isj20150501

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…[ 8 9 10 ] Many studies showed that initial cosmetic outcome in adhesive tapes was better, but delayed scar widening was not significantly different between sutured wounds and adhesive tapes. [ 6 11 14 15 ] Findings of the present study show that wound tape in comparison to suture in wounds <20 mm was more effective in scar formation, but in wound <50 mm was similar to suture. Hence, these show that wound tape can be used as a suitable wound closure technique in wounds <20 mm.…”

Section: Discussionmentioning

confidence: 58%

Comparison of Wound Tape and Suture Wounds on Traumatic Wounds' Scar

et al. 2018

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Background:Several methods have been used in wound closure for traumatic wounds, but it is not clear that which of these methods has more safety and efficacy. This study aimed to compare scar width due to standard and current treatments in wound repair by suturing and method of wound restoration using wound tape in patients with traumatic ulcers.Materials and Methods:This randomized clinical trial was done in ninety patients with wounds in the facial area. They were divided randomly into two groups of 45. The wounds in the first group were sutured, and wound tapes were used to wound closure in the second group. After 2 months, length and width of scar and results of life-size photography were recorded in a list, especially prepared for this purpose.Results:The mean age of the patients was 22.7 ± 12.9 years with 46 males (56.1%) and 36 females (43.9%). After 2 months, scars width in suture wound group was 2.9 mm and in wound tape group was 2.5 mm, with no statistically significant difference (P = 0.07). In patients with wound length of >20 mm, scars width was similar between groups and no significant differences was noted (P = 0.27), but in patients with wound length of <20 mm, scars width in wound tape group was significantly less than suture wound group (1.7 vs. 2.5 mm, respectively, P = 0.01). Wound complications were not significantly different between the two groups.Conclusion:Findings revealed that scar formation in wounds lower than 20 mm treated using wound tape was lower than suture, but for wounds between 20 and 50 mm were similar between wound tape and suture.

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Section: Discussionmentioning

confidence: 58%

Comparison of Wound Tape and Suture Wounds on Traumatic Wounds' Scar

et al. 2018

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“…Kochar and Singh reported wound closure with staples was almost three times faster but with less tensile strength of scar tissue than with other types of sutures. 8 Gupta also showed staplers had benefit in terms of less time and expenses consumed. 9 One randomized control trial by Rousse compared staples to subcuticular sutures for cesarean sections abdominal skin closure in 101 women.…”

Section: Discussionmentioning

confidence: 98%

Comparison of tensile strength of skin closure by simple interrupted, simple continuous, and staples

Jarasviriyagul,

Chanasriyotin

2023

Int Surg J

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Background: Objective of the study was to compare tensile strength and time taken for wound closure using simple interrupted sutures, simple continuous sutures, and staples sutures. Methods: Swine skin tissue was cut into pieces of 2×6 cm and were divided into 3 groups according to skin closure technique: simple interrupted sutures (Nylon 5-0), simple continuous sutures (Nylon 5-0), and staples suture. All sutures, three equal knots in one piece, were performed by a single surgeon. Time taken for the approximation of each sample was recorded in second (S). Tensile strength was measured in newton unit (N) by pulling apart until suture separation using a tensiometer. One-way analysis of variance (ANOVA) and subgroup analysis using Bonferroni correction was used to determine differences between groups. Results: Of 190 total pairs of skin tissue, the mean±SD times for skin approximation were 144.86±22.67 s for simple interrupted sutures, 96.19±17.64 s for simple continuous sutures, and 12.90±3.18 s for staples sutures (p<0.001). The corresponding mean±SD of maximum tensile strengths in each group were 29.04±10.72 N, 18.85±5.45 N, and 56.41±19.56 N, respectively (p<0.001). Conclusions: Our study showed that the use of staples for skin approximation took the least operative time and achieved the highest maximum tensile strength.

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