Study of Skin Staples and Conventional Sutures for Abdominal Clean Wound Skin Closure: A Randomized Control Trial

Abstract

The objectives of this study were to study the total cost and operative time required for suture and staple Repairs, to study the effect on wound healing and infection rate with the use of Sutures and staples, to study the cosmetic results of these two techniques and to study the degree of patient's acceptance with the two techniques. MATERIALS AND METHODS: Source of Data: The study was conducted on 100 patients who undergoing elective surgery from January 2010 to March 2014 in BLDE UNIVERSITY, Shri B M Patil medical college Bijapur. The patients were randomly selected to receive either suture or staple repair. METHOD OF COLLECTION OF DATA: DURING OPERATION-from operating surgeon. Post operatively: from patient's input. Supply of Suture and Staples: from pharmacy. FOLLOW UP OF PATIENTS: Patients came for follow up to outpatient Department After discharge. INCLUSION CRITERIA: Patients undergoing elective abdominal surgery, with clean wound. EXCLUSION CRITERIA: Patients having lacerated wounds with skin loss. RESULT: The study groups included 100 patients who underwent wound closure by staplers and 100 patients who underwent the silk suturing. The youngest patient was aged 2 year and the oldest was 75 years old. The commonest region of the surgical wounds in this study was inguinal, 20 in staplers and 20 in suture group. The time taken for wound closure using staplers showed statistically significant difference over silk suture closure. It took the stapler four times less duration to perform wound closure. The appearance of the scar among the staple groups was good in 90% of those who returned for follow up at one month, 10% had average scar. The average cost of using staple was higher than silk suture. Patient acceptance was better in the staple group with less pain during removal as compared to suture group. There were four complications in the staple group in the form of wound infection and ten cases of postoperative wound infection in the suture group. Average VAS of patients in staple group at the end of one month was 71.88 (±5.50) while the average for suture group was 64.44(±6.17). P value calculated using Student's Unpaired 'T' test. P value was <0.0001 which was highly significant.

Comparative study between skin suture versus skin stapler in abdominal surgery

“…The average cost of staples and sutures in the present study is comparable with studies of Karbhari et al, and Chavan et al 9,16 The average cost of staples in Naireen et al study was more than other studies. 10 The average cost of using sutures for group A wound and group B was Rs.220 and for group C was ranging from Rs.220-440.…”

“…In Chavan et al study, the mean time for closure in staples group was 60 sec and in sutures group was 240 sec. 9 In Kanagaye et al study, the mean time for closure in staples group was 65 seconds and in sutures group was 397 seconds. 12 Ranabaldo et al study, the mean time for closure in staples group was 147 seconds and in sutures group was 224 seconds.…”

“…In Chavan et al study, the youngest patient was aged 2 years and the oldest was 62 years, with a median age of 30 years in staple group; while in the suture group youngest patient was aged 3 years and the oldest was 75 years of age. 9 In…”

Comparison between Sutures and Staplers - Which is Better for Laparotomy Wound Closure

“…Surgical stapling was developed in 1908 by Hulti Humer in Australia. the original instrument was massive by today's standards weighing 7.5 pounds (2) . The development of mechanically satisfactory skin staplers appears to represent an important advance in rapid and effective means of closing long skin incisions.…”

“…The treatment and healing of wound is an art as old as humanity (1) . The principle aims of tissue repair of surgical skin incisions are rapid acquisition of strength and minimum tissue damage with minimum inflammation and a good scar (2) . Many factors influence the above principle aim, but of particular importance are accurate coaptation of the dermal margins, eversion or inversion leads to suboptimal healing (3) .…”