Surgipler Skin Stapler versus Trulon Polyamide Suture in Post-surgical Open Abdominal Wound Closure: A Randomised Clinical Trial
Introduction: Surgical wound closure is the process of closing incised skin to facilitate rapid wound healing with a low risk of complications and an appealing cosmetic outcome. The method and material for wound closure are influenced by the type of surgery, the anatomical site of the wound, and...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2023-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/18864/66315_CE[Ra1]_F[SK]_QC&REF(SHK_IS)_PF1(VD_OM)_PFA(VD_KM)_PN(KM).pdf |
| Summary: | Introduction: Surgical wound closure is the process of closing
incised skin to facilitate rapid wound healing with a low risk of
complications and an appealing cosmetic outcome. The method
and material for wound closure are influenced by the type of
surgery, the anatomical site of the wound, and the length of the
incision. It must serve both functional and aesthetic purposes
with fewer complications.
Aim: To compare the rate of Surgical Site Infection (SSI) between
skin staplers and polyamide sutures among patients undergoing
open abdominal surgeries.
Materials and Methods: The present study was a singlecentre, prospective, two-arm, parallel-group, randomised (1:1)
clinical study conducted at the Department of General Surgery,
IPGMER-SSKM Hospital, Kolkata, West Bengal, India, between
July 19, 2022, and January 31, 2023. A total of 134 eligible adult
patients (18-70 years) undergoing open abdominal surgeries
were screened, enrolled, and randomised to the Surgipler
skin stapler (n=67) and Trulon polyamide suture (n=67).
Patients were followed up for 84 days. The primary objective
was to compare the rate of SSI between the two groups. The
secondary objectives were evaluation of wound complications,
postoperative pain, patient satisfaction, cosmetic appearance of
the wound, time taken for skin closure, ease of use, and safety
of the two interventions. The statistical analysis was performed
using the Analysis of Variance (ANOVA) test for continuous
variables. A p-value <0.05 was considered significant.
Results: The Surgipler skin stapler performed better than the
Trulon polyamide suture in postoperative wound closure of open
abdominal surgeries, based on the percentage of SSI (2.98% vs.
4.47%), skin closure time (387.99±116.40 vs. 578.57±139.22
seconds), patient satisfaction score (4.20±0.53 vs. 2.69±0.57),
the overall Patient and Observers Scar Assessment Scale
(POSAS) observers score (1.17±0.39 vs. 2.44±0.69), and the
overall POSAS patient score (1.24±0.47 vs. 2.50±0.76) at the
end of the study. All parameters had a statistically significant
p-value <0.0001.
Conclusion: The present study concludes that the Surgipler
skin stapler performed better than the Trulon polyamide suture
in postoperative wound closure in open abdominal surgeries. |
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| ISSN: | 2249-782X 0973-709X |