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Research Paper | Medical Surgical | India | Volume 12 Issue 3, March 2023
A Study of Comparison between Suture (Nylon) and Staplers in Closure of Skin Incision of Elective Surgical Procedures
Dr. Surekha [5] | Dr. Brijendra Nigam [2] | Dr. Manisha Nigam [2] | Dr. Ashita Kohli
Abstract: Background: To get good tissue union and acceptable aesthetic results, the method of skin closure has become extremely important in modern surgical practices. Any method of skin closure acts to hold the skin edges until healing occurs sufficient enough to be self supportive. In this study we will compare and observe the merits and demerits of stapler and nylon suture for skin incision closure. Materials and Methods: This prospective observational study was conducted on 98 patients undergone elective surgical procedures in Rama Medical College, Hospital and Research centre, Kanpur. Patients were randomly divided into two groups A and B with 49 patients in each group. Similar inclusion criteria have been laid down for selection of patients in both groups. In group A patients skin closure was done using stapler and in group B nylon suture material was used to approximate the skin edges. Results: Observations made during the study shows that mean time for incision closure is significantly shorter in stapler (27.2 seconds) compared to suture (172.2 seconds). Incidence of surgical site infection is more with suture group than stapler group. A higher VAS score was observed in stapler group than in suture group. Suboptimal cosmetic appearance was reported in 10.2% cases of stapler group as compared to 24.4% cases of suture group. Cost of stapler used for stapler was higher as compared to suture group. Conclusion: Skin stapler although expensive but speedy with less post operative infections and has better cosmetic outcomes compared to suture material. However, suture is cost effective and has comparably better in terms of post operative pain on incision line.
Keywords: Stapler, Suture, Wound Healing, Infection, Cosmesis, Elective Procedures
Edition: Volume 12 Issue 3, March 2023,
Pages: 1682 - 1686