Comparison of the Skin Closures Using Staples Versus Prolene Sutures in Patients Undergoing Clean Elective Abdominal Surgeries.

Abstract

Objective: To assess the surgical site infection and skin closure time of individuals receiving clean elective abdominal operations with prolene sutures vs staples.

Study Design: Randomized Controlled Trial study

Place and Duration of Study: This study was conducted at the Department of Surgery, Lady Reading hospital, Peshawar from 1st Jan 2021 to July 2021.

Methods: This Randomized Controlled Trial study was conducted with the necessary approvals from the ethical board and research committee of the CPSP at the Department of Surgery, Lady Reading hospital, Peshawar. A total of 124 patients, of various genders, underwent clean elective abdominal surgery and were included in the study. Patients in group A underwent skin closure using the staple method, while patients in group B underwent skin closure using the prolene suture method after surgery.

Results: Participants in this research ranged in age from 18 to 65, with Group A averaging 45.048±7.83 years and Group B 43.451±9.27 years. SSI rates differed significantly between groups A and B. SSI occurred in 19 (30.6%) of group A patients and 37 (59.7%) of group B patients (P= 0.001). The mean skin closure time in group A was substantially lower than group B (p=0.000). Group A had an average closure time of 126.774±32.78 seconds, whereas Group B had 459.677±60.43 seconds.

Conclusion: Our study results indicate that skin staples have been found to result in lower rates of wound infection compared to sutures in clean elective surgeries.