Comparison of various methods of skin closure in inguinal hernia repair
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 2
Abstract
Introduction: The optimal method of skin closure still remains ambiguous. Surgical sutures are conventionally used in skin closure of surgical wounds. The alternative wound closure devices available include skin staplers, adhesive tapes and skin glue. Various studies have been conducted all over the world using sutures, adhesive tapes, skin staplers and skin glue in closure of different wounds. Since Sutures have been the gold standard for skin closure, studies have been done to show that newer methods are equally useful if not better. Aims and Objectives: To Comparison Various Methods of Skin Closure in Inguinal Hernia Repair with respect to Cosmesis. Methodology: This study is a prospective study conducted at Aarupadai Veedu medical college and hospital, Pondicherry, during the period October 2013 to August 2015 after obtaining approval from the Institutional Ethics Committee. We prospectively randomized 120 patients between the age of 20 years and 70 years. The cosmesis was assessed at the end of the 1st month using the VAS; this scale is 100 mm long with “worst scar” written at 0 mm and “best scar” written at 100 mm. A wound registry data sheet was created using Microsoft excel and the data entered was statistically analysed using the SPSS software. Result: At the end of first month after surgery using a VAS. We also found that there was no difference in cosmesis at the end of one month between sutures, skin glue and Adhesive tapes but there was significantly worse cosmesis in those who were assigned to the stapler group (P-value<0.000074). Conclusion: Worse cosmesisin the stapler group was found as compared to others Treatment Group.
Authors and Affiliations
Vinoth Kumar S, B Kanchana, G K Venkatachalam
Keywords
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