Comparative Study Betweensubcuticular and simple wound closure in incidence of wound infection
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 8
Abstract
Abstract: Prevention of infection following surgery is important aim. Simple suture is most fundamental technique of wound closure used in. Another method ofwound closure is subcuticular stitches.subcuticular suture technique is useful to enhance the cosmetic result. A prospective non-randomized study of 200 patients with surgical wound was carried out over a period of 12 months in 100 patients(group A), wound closure was done with simple interrupted method and in 100 patients(group B) with subcuticular method. This study was undertaken in hospitals of Iran University of Medical Sciences, Iran. Data including age, sex, wound infection, wound type and overweight were collected. 1% of patients in group A and 2% in group B had wound infection. Wound type of 71% of the group A and 67% of patients in the group B were clean contaminated. Thirty nine percent of patients in group A and 40% of patients in group B are located in the age of 21 to 40 years. 68% of group A and 62% of group B were male. Surgical site of 84.8 %, 4%, 9.1% and 2% of patients in group A and 84%, 2%, 7% and 7% of patients in group B was in abdomen, thorax, head and neck and extremity, respectively. About Eighty four percent of the surgeries in both groups were done on abdomen.Incidence of wound infection in patients who had surgical wounds sutured by subcuticular and simple were 2% and 1%, respectively that this difference was not statistically significant.therefore, we recommend the routine use of subcuticular method in surgical wound closure with better aesthetic result. In our study, the incidence of wound infection was lower than other studies. Keywords:Infection, simple, subcuticular.
Authors and Affiliations
Dr. Mohammad Reza Asgary, Dr. Hosein Hemmati
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