COMPARATIVE STUDY OF STAINLESS STEEL STAPLES CLOSURE OF SKIN WOUND VERSUS 3-0 ETHILON CLOSURE

Dr. V. Chandra Sekhar; Dr. A. Anil Kumar Reddy; Dr. P. Chaitanya; Dr. G. Swamy Vivek

Volume : IX, Issue : I, January - 2019

COMPARATIVE STUDY OF STAINLESS STEEL STAPLES CLOSURE OF SKIN WOUND VERSUS 3-0 ETHILON CLOSURE

Dr. V. Chandra Sekhar, Dr. A. Anil Kumar Reddy, Dr. P. Chaitanya, Dr. G. Swamy Vivek

Abstract :

BACKGROUND: The choice of wound closure after surgery, whether major or minor procedure, there always exist lot of questions in many concerns. One of those concerns is how fast and comfortable will be the recovery. A new technology is surgical staples, easier to use with minimal tissue reactivity. The Objectives of the study: To compare the post operative pain ,cosmetic appearance of skin closure by two observe any complications in the two methods of skin closure. Methods: This is a comparative study conducted on 70 patients in two groups, done at Department of General Surgery, ASRAMS, Eluru. Cases undergoing clean elective surgical procedure and skin closure with suturing or with staples under same antibiotic coverage for same duration from October 2016 to September 2018. In both the groups, the post–operative pain is assessed at 0hours, 12 hours, 24hours, 36 hours, 48hours, 72hours, and 7th day using VAS of 0 to 100, as rated by patient themselves. The outcome of wound is assessed at 3rd, 5th, 7th post–operative days using ASEPSIS score and Any complications,. Results: There is significant less post–operative pain. Maximum number of complication is noted in Skin Suturing group of 34% (12 cases). In Skin staples group 20% (7 cases) of complications are observed. Wound separation is 0.06% (2cases) in Skin staples Group and 0.06% (2 cases) in Skin Suturing Group which is of equivalent outcome. The early results are in favour of Skin staples group and the Cosmesis at 1stmonth, 3rd month and 6th month is good with Skin staples group is of great significant.