A Comparative Study of Wound Closure with Disposable Skin Stapler Versus Conventional Sutures
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Context: A variety of techniques and materials are available these days for wound apposition. The surgeon’s preference of a particular technique and material for wound closure depends largely on the biomechanical properties of the material, tissue configuration and the trauma wound properties. Aim: This study was conducted to study the relevant advantages & disadvantages offered by the skin stapler over the conventional skin suturing. Methods and Material: The study was conducted on 150 cases undergoing clean and clean contaminated surgical procedures, divided into 3 groups (A,B,C), each consisting of 50 cases. Group A selected for Stapler closure, group B taken up for skin suturing with interrupted Silk suture (2-0) and group C with Ethilon (2-0). Results: The mean length (cm) in Stapler group was 9.34 ± 5.62 and in Silk group, the mean length was 9.59 ± 4.92 and in Ethilon group was 9.36 ± 4.80. Stapler group vs silk group was NS (not significant) (t=0.2367 and p=0.8134), Stapler group vs Ethilon group was also NS as t=0.191 and p=0.9848 and Silk group vs. Ethilon group was again NS as t=0.2364 and p=0.8136. In Stapler group, the mean number of staples was 11.88 ± 6.75 and in Silk group, the mean number of sutures was 8.096 ± 4.38 and in Ethilon group, the mean number of sutures was 7.8 ± 4.37. Number of sutures compared for three groups statistically showed that Stapler group vs Silk group t=3.3529 and p=0.0011 was very significant, Stapler group vs Ethilon group t=3.5827 and p= 0.0005 was extremely significant and Silk group vs Ethilon group t=0.2966 and p=0.7674 NS. The mean time taken (in sec.) per staple was minimum with value of 7.4 ± 1.1. Time taken for one suture of Silk (in sec.) was 22.3 ± 1.7, and the time taken for one suture of Ethilon (in sec.) was 25.0 ± 3.4. Conclusion: Staples are best suited in emergencies, as trauma to the tissue is minimum and saves time. Otherwise overall results are comparable to suturing with Ethilon but definitely the Stapler and Ethilon are much better than silk sutures.
Authors and Affiliations
Paras Kumar Pandove, Ashish Sharma, Ashwani Kumar, Lovelesh Pandove, Manisha Aggarwal, Rajandeep Singh
Keywords
Related Articles
- EP ID EP543773
- DOI 10.21276/ijmrp.2017.3.2.021
- Views 75
- Downloads 0
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