Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Different methods and materials are used for wound closure and they are highly dependent on the type of surgery, the length and anatomical site of the wound. Most commonly used method for wound closure is skin suturing. The principal advantages of sutures are their flexibility, strength, non‐toxicity and in vivo degradation properties. Although the sutures are the most commonly used technique of wound closure, they have increased risk of wound infection. Even if the skin closure is conventionally performed by sutures, staples appear to be more promising in terms of efficacy of fixation, decreased rate of infection, good cosmetic results and rapidity of application. The skin staplers have almost revolutionized wound closure techniques. During the last few decades, there have been innovative advances in the development of skin staples as well as tissue adhesives. The study was carried out in the department of General Surgery at tertiary care teaching hospital from December 2019 to October 2021. 60 patients of skin suturing and skin stapler (30 patients of each) undergoing surgical intervention were studied. Patients who met inclusion criteria were enrolled into the study. After the final diagnosis was made, patients were resuscitated and then posted for surgery. Check dressing of suture line was done in all the patients on 3rd post‐operative day for possible wound complications. Patients were looked up for complications‐infection, discharge, gaping and wound dehiscence‐during the post‐operative period. In case of wound infection/discharge in any group, the discharge was sent for culture and sensitivity. And antibiotic given according to culture sensitivity. All the patients were monitored for other possible complications in postoperative period. After suture removal patients were discharged and advised to follow up in OPD for examination after one month and three months. The mean age in staples group is 37.06 years and that of suture group is 39.70 years. The average time taken for skin closure in staples group was three times less than that required for suture group. The average time required for staples removal is 84.33±34.38 sec and for suture group is 210.33±62.06 sec. Conclusion‐ Wound complications are less in staple group as compared to traditional suturing group.
How to cite this article:
Audumbar Maske, Balveer Saini, Sanchit Khare and Shukladhan Rode. Comparative Study Between Traditional Skin Suturing vs Skin Stapler in Emergency Abdominal
Surgery in Young Adults.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.10.116.120
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.10.116.120