Skin closure after laparotomy with staples or sutures: a study of the mature scar

摘要: Background Surgeons are divided in their method of choice for skin closure following laparotomy. We suggest that the most important determinant should be resulting scar. This study aims to compare both patients' and independent observers' assessment mature laparotomy scars had been closed with either subcuticular sutures or external staples. Methods Consecutive patients were enrolled at least 1 year colorectal surgery. Scars assessed validated Patient Observer Scar Assessment Scoring (POSAS) tool. Photographs by a blinded panel. Results Overall, 232 (90 suture, 143 staples). The two groups well matched factors affecting wound healing. Patients' overall opinion scar was significantly better Suture group than Staples (P = 0.028) despite there being no difference self-assessment components score (pain, itch, colour, stiffness, thickness, irregularity). panel recorded similar scores (P = 0.059). There significant lower (better) area component (P = 0.008) but differences other (vascularity, pigmentation thickness). Discussion This has shown method, who have undergone major abdominal surgery positive scars. impression favours sutured due smaller (no staple marks). In all respects, staples would appear acceptable.