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Objectives: To compare stainless skin staples and polypropylene sutures in skin closure in clean elective surgeries in terms of wound infection and skin closure time.
Study design: Comparative experimental study
Place and duration: Cantonment General Hospital, Rawalpindi, 1st Jan to 26th Sep 2017
Methodology: Five hundred patients undergoing clean elective surgery were selected and divided into two equal groups. Skin closure was done with Prolene suture and stainless-steel skin staples in respective groups. Operative time was considered, and wound infection was assessed within 30 days. Both groups were compared in terms of wound infection and skin closure time.
Results: Both groups had same number of patients (250 in each group). The mean age was 31.54 ± 10.51 years. Male to female ratio was 245 (49%):255 (51%). The mean hemoglobin level was 12.42 ± 1.70 g/dl. There was no difference between groups in terms of age, gender distribution and hemoglobin levels (p values 0.592, 0.125, 0.805). There was statistically significant difference between the groups in terms of skin closure time and frequency of SSIs i.e. 251.07 ± 28.61 versus 87.28 ± 17.20 seconds (p value <0.0001) and 61.2% versus 38.8% (p value 0.024) for suture and staples groups respectively.
Conclusion: Skin staples cause less wound infection than sutures in clean elective surgeries. Moreover, skin staples are quicker for skin approximation than sutures.
Abdul Basit, Salman Habib Abbasi, Sohaib Haider, Yasir Masood Kiani, Fazal Hussain Shah. (2018) To Compare Outcomes of Stainless Skin Staples and Polypropylene Sutures for Skin Closure in Clean Elective Surgeries, Isra Medical Journal, Volume 10, 01.
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