A prospective trial of skin staples and sutures in skin closure

1986 ◽  
Vol 155 (6) ◽  
pp. 194-196 ◽  
Author(s):  
C. F. Harvey ◽  
C. J. Hume Logan
Keyword(s):  
Prospective Trial ◽  
Skin Closure ◽  
Skin Staples

scholarly journals Skin Staples: A Safe Technique for Securing Mesh in Lichtensteins Hernioplasty as Compared to Suture

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Anand Munghate ◽  
Sushil Mittal ◽  
Harnam Singh ◽  
Gurpreet Singh ◽  
Manish Yadav
Keyword(s):  
Mesh Fixation ◽  
Operating Time ◽  
Operation Time ◽  
Skin Closure ◽  
Skin Staples ◽  
Group I ◽  
Lichtenstein Hernia Repair ◽  
Duration Of Surgery ◽  
Group Ii ◽  
Polypropylene Sutures

Background.Lichtenstein tension free repair is the most commonly used technique due to cost effectiveness, low recurrence rate, and better patient satisfaction. This study was done to compare the duration of surgery and postoperative outcome of securing mesh with skin staples versus polypropylene sutures in Lichtenstein hernia repair.Materials and Methods.A total of 96 patients with inguinal hernia undergoing Lichtenstein mesh repair were randomly assigned into two groups. The mesh was secured either by using skin staples (group I) or polypropylene sutures (group II).Results.The operation time was significantly reduced from mesh insertion to completion of skin closure in group I (mean 20.7 min) as compared to group II (mean 32.7 min) with significantPvalue(P<0.0001)and less complication rate in group I as compared to group II.Conclusion.Mesh fixation with skin staples is as effective as conventional sutures with added advantage of significant reduction in the operating time and complications or recurrence. The staples can be applied much more quickly than sutures for fixing the mesh, thus saving the operating time. Infection rate is significantly decreased with staples.

scholarly journals A Randomized Study Comparing Skin Staples with Subcuticular Sutures for Wound Closure at Caesarean Section in Black-Skinned Women

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Rukiyat Adeola Abdus-Salam ◽  
Folasade Adenike Bello ◽  
Oladapo Olayemi
Keyword(s):  
Caesarean Section ◽  
Wound Closure ◽  
Operation Time ◽  
Skin Closure ◽  
Subcuticular Suture ◽  
Wound Closure Techniques ◽  
Patients Satisfaction ◽  
Skin Staples ◽  
Scar Assessment ◽  
Suture Group

This study aimed to compare patients’ satisfaction and outcome of caesarean section wound closure by skin staples and subcuticular suture at discharge and 6 weeks of postoperation. It was a randomized controlled trial of pregnant women scheduled for caesarean section at the University College Hospital, Ibadan, Nigeria, allocating them to wound closure by skin staples or subcuticular suture. Pain was assessed using the box numeric pain scale. Scar assessments were by patient, research nurse, and independent observers using the visual analogue scale, modified patient observer scar assessment scale, and patient satisfaction scale. Operation time (minutes) was significantly shorter in the staple group, 40.26 (±16.53) compared to 47.55 (±14.55) in the suture group (P=0.025). Skin closure time (seconds) was significantly less in the staple group, 118.62 (±69.68) versus 388.70 (±170.40) in the suture group (P≤0.001). There was no difference in pain experienced, wound assessment by the participants, and patients’ satisfaction. Participants in the staple group scored higher on both scar assessment scales by the nurse (P=0.044). Cost comparison analysis showed that staple use costs significantly more than suture use (P<0.001). The perceived benefit of subcuticular suture over skin staples was not observed and participants were satisfied with both wound closure techniques.

scholarly journals Prospective randomized comparative study of skin adhesive glue (2- methyl -2- cyanopropionate or cyanoacrylate) versus conventional skin suturing by suture material/skin stapler in clean surgical cases

2017 ◽  
Vol 5 (1) ◽  
pp. 168 ◽  
Author(s):  
Arjun A. Pawar ◽  
Mohan A. Joshi ◽  
Meenakshi Gadhire ◽  
Raghav Shotriya ◽  
Bankat Phad ◽  
...  
Keyword(s):  
Analogue Scale ◽  
Random Number ◽  
Suture Material ◽  
Skin Closure ◽  
Cosmetic Appearance ◽  
Vas Score ◽  
Skin Staples ◽  
Removal Time ◽  
Good Cosmetic ◽  
Better Than

Background: To compare cosmetic appearance of skin closure wound by three methods -sutures, staples and skin adhesive glue. Traditional skin closure using sutures causes more pain, infection, needs its removal, time consuming and leaves behind bad scar. Nowadays, good cosmetic appearance of operated site is appealing among patients. Surgeons are looking for faster, comfortable and cosmetically best technique for skin closure. Newer techniques need to be evaluated which are better than suture and staples. 2-octylcyanoacrylate is easier to use, flexible, water resistant, pain free sealed skin closure without its need for removal and has better cosmesis.Methods: This study is conducted from July 2010 to April 2013 in 90 patients at LTMG Hospital. Wounds of clean surgeries closed with suture material, skin staples and skin adhesive glue were studied in 30 patients each. Patients were randomized using standardized methods. Patients followed up over period of 28 days and their scars were assessed according to the modified Hollander cosmesis scale(MHCS) and cosmetic visual analogue scale(VAS). Patient allotment was done using random number table.Results: Mean MHCS score for skin adhesive group on day 7 was 4.83 which was significantly more than 3.90for suture and 3.97 for stapler. Mean VAS score for skin adhesive group on day 7 was 67.67 which was significantly more than 61.67 for suture and stapler each. Mean MHCS and VAS score for skin adhesive group on day 7, 14 and 28 were significantly more than suture and stapler groups.Conclusions: Octylcyanoacrylate can be used for skin closure in clean elective surgeries with better cosmetic outcome as compared to staples and sutures. 

scholarly journals Skin stapler versus sutures in abdominal wound closure

2017 ◽  
Vol 4 (9) ◽  
pp. 3062
Author(s):  
Fobin Varghese ◽  
Jose Gamalial ◽  
John S. Kurien
Keyword(s):  
Wound Infection ◽  
Wound Closure ◽  
Visual Analogue Score ◽  
P Value ◽  
Skin Closure ◽  
Chi Square ◽  
Skin Staples ◽  
Suture Group ◽  
Study Population

Background: Wound closure is as important as any other action performed by the surgeon. Apart from the need for producing a healthy and strong scar, it is the surgeon’s responsibility to ensure its aesthetically pleasing physical appearance. Skin staples are an alternative to regular sutures in offering this advantage. The present study has helped to highlight the benefits of skin stapler.Methods: Out of the 120 participants, 60 underwent skin closure with Stainless steel skin staples and the remaining 60 with non-absorbable Polyamide mattress sutures randomly. They all received one mandatory dose of pre-operative parenteral antibiotic 1 hour prior to the incision. On the 3rd postoperative day, the wound was evaluated for inflammation, infection and wound gape. Participants were re-evaluated for infection/gape/inflammation during follow-up on 7th day. The wounds were evaluated at 1 months follow up which were rated for cosmesis by Visual Analogue Score. The data was coded and entered in Microsoft excel and then analysed using statistical software SSPS.Results: Study population consisted of 79 males (65.8%) and 41 females (34.2%). Mean age of the study population was 49.35 with an SD 16.739. Wound infection was found to be higher in stapler group (30%) when compared to conventional suture group (11.7%)which was found to be statistically significant with chi-square value 6.114 and p value 0.013. Mean time for closure was significantly shorter in stapler group 4.55 minutes, when compared to suture group (11.22 minutes). Better cosmetic outcome was observed in conventional suture group.Conclusions: Preventing wound infection, especially in abdominal wounds, is of importance as it may lead to wound gaping. Incidence of post-operative wound infection was more with skin staples. Cosmesis is essential and important aspect in this day and age. A cosmetic scar not only gives satisfaction to the patient but also mental ease to the surgeon. Conventional sutures provided better cosmetic result when compared with skin staplers.

scholarly journals SURGICAL SITE WOUND COMPLICATION

2018 ◽  
Vol 25 (10) ◽  
pp. 1487-1491
Author(s):  
Faaiz Ali Shah ◽  
Mian Amjad Ali ◽  
Umar Zia Khan
Keyword(s):  
Wound Complication ◽  
Wound Complications ◽  
P Value ◽  
Skin Closure ◽  
Complication Rates ◽  
Polypropylene Suture ◽  
Skin Staples ◽  
Group A ◽  
Suture Closure ◽  
Group B

Objectives: To compare the frequency of surgical site wound complicationrate between the skin closure with staples and polypropylene suture after elective hip surgery.Study Design: Prospective Randomized trial. Place and Duration of the Study: Orthopaedic& Traumatology Department Lady Reading Hospital from 13/03/2016 to 25/12/2017. Materialand Methods: All patients of either gender or age with intertrochanteric fractures fulfilling theinclusion criteria and fixed with dynamic hip screw (DHS) were randomly divided into two groups.Group A surgical site skin wounds were closed with metallic skin staples while Group B woundswere closed with polypropylene sutures. Wounds were examined for inflammation, necrosis,dehiscence, discharge and abscess on 3rd day, 2nd week, 4th, and 8th weeks in both groups andcompared. P value was considered significant if < 0.05. Results: Surgical site skin closure of100 patients were done with staples (group A, 50 patients) and interrupted polypropylene suture(group B, 50 patients). Baseline parameters of both groups had no significant differences. Meanage of group A and B patients were 61.6±SD 17.1 and 61.02±SD 19.2 respectively. Surgicalsite wound complications were reported in 9(18%) patients with staples closure and 8(16%)patients with suture closure (p > 0.05). Conclusion: We found no significance difference insurgical site complication rates of staples and suture closure in elective hip surgery patients.The operating surgeon can use closure material of his own choice.

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