• Corpus ID: 86665299

DOES A SUBCUTICULAR NON-ABSORBABLE SKIN SUTURE GIVE BETTER OUTCOME THAN CLIPS IN ELECTIVE OPEN COLORECTAL SURGERY?

@article{Hussain2018DOESAS,
  title={DOES A SUBCUTICULAR NON-ABSORBABLE SKIN SUTURE GIVE BETTER OUTCOME THAN CLIPS IN ELECTIVE OPEN COLORECTAL SURGERY?},
  author={Anwar Hussain and Ahmad Arsalan Tahir and Rashid Waheed and Naseem Waraich},
  journal={Journal of Medical Sciences},
  year={2018},
  volume={26},
  pages={292-296}
}
Obective: To assess the patient satisfaction and wound outcomes in both techniques of wound closureMaterial and Methods: A prospective cohort study including all the patients who underwent elective open colorectalsurgery, in a single unit, from May 2015 to May 2017 at Mid Cheshire Hospital Trust Crewe, UK. Patients allocated toSubcuticular-suture or Skin-clips groups randomly depending on surgeons’ choice. Data was collected on patientdemographics, type of surgery, and methods of skin closure… 

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TLDR
There was no significant difference in scar width between a wound which had staples removed at 10 days post operation and one where the staples were removed at 14 days, and the scar produced by subcuticular prolene was narrower than that produced by the skin stapler.
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TLDR
This study suggests that 42% of patients report a wound complication with no difference between sutures and staples, and it was demonstrated that suturing skin requires more time and staples are more painful to remove.
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TLDR
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TLDR
Assessment of the healing process showed subcuticular Dexon to be more effective than metal staples or vertical mattress nylon suture, and the final cosmetic result showed continuous sub cuticular suture to be superior to nylon vertical mattress suture and skin staples but as effective as Op-site sutureless skin closure.
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The use of skin clips, using an assistant to evert the wound edges, as an efficient form of wound closure in most uncomplicated orthopaedic procedures is recommended, without complications en chirurgie orthopédique.
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TLDR
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TLDR
No clear benefit derives from the use of staples in the closure of abdominal wounds, and wound pain and requirements for analgesia were significantly lower in the sutured group.
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