Comparison of Skin Staples and Standard Sutures for Closing Incisions After Head and Neck Cancer Surgery: A Double-Blind, Randomized and Prospective Study

作者: Jitender Batra , Rajesh Kumar Bekal , Sunil Byadgi , Gyanander Attresh , Shanender Sambyal

DOI: 10.1007/S12663-015-0809-Y

关键词: Prospective cohort studyMedicineSurgeryDouble blindPlastic surgeryCost effectivenessOral and maxillofacial surgeryPatient comfortOtorhinolaryngologyHead and neck cancer

摘要: To investigate the merits and demerits of stapled skin closure when compared to conventional sutures in head neck cancer surgery. A total 80 patients (40 each control study group) were enrolled. The underwent incision wounds following surgical procedures. Skin incisions closed with using 3-0 silk group stainless steel staples group. Both groups for speed closure, cost effectiveness, pain on removal, patient comfort, aesthetic outcome day 15 30 days after removal complications. mean length was 54 ± 16.3 cm while 53.7 ± 15.4 cm which statistically not significant (P = 0.95). time 34.2 ± 12 min 3.3 ± 1.2 min highly (P < 0.001). material Rs. 270.0 ± 46.4 517.5 ± 135.7 also It concluded that are better alternatives surgery as they offer ten times faster wound similar results terms complication rate.

参考文章(18)
D. Gatt, C. R. Quick, M. S. Owen-Smith, Staples for wound closure: a controlled trial. Annals of The Royal College of Surgeons of England. ,vol. 67, pp. 318- 320 ,(1985)
Coupland Rm, Sutures versus staples in skin flap operations. Annals of The Royal College of Surgeons of England. ,vol. 68, pp. 2- 4 ,(1986)
D. Selvadurai, M. L. Nicholson, S. A. Choksy, M. M. Heywood, G. Treharne, C. Wildin, Randomised trial of subcuticular suture versus metal clips for wound closure after thyroid and parathyroid surgery. Annals of The Royal College of Surgeons of England. ,vol. 79, pp. 303- 306 ,(1997)
C. L. Clark, A. Doble, J. S. Lumley, A comparative study between Michel and Proximate clips for the closure of neck incisions. Annals of The Royal College of Surgeons of England. ,vol. 73, pp. 204- 206 ,(1991)
I Stockley, R A Elson, Skin closure using staples and nylon sutures: a comparison of results. Annals of The Royal College of Surgeons of England. ,vol. 69, pp. 76- 78 ,(1987)
DM Ridgway, F Mahmood, L Moore, D Bramley, PJ Moore, A Blinded, Randomised, Controlled Trial of Stapled Versus Tissue Glue Closure of Neck Surgery Incisions Annals of The Royal College of Surgeons of England. ,vol. 89, pp. 242- 246 ,(2007) , 10.1308/003588407X179062
ABU N.G.A. KHAN, PETER S. DAYAN, STEVEN MILLER, MICHAEL ROSEN, DAVID H. RUBIN, Cosmetic outcome of scalp wound closure with staples in the pediatric emergency department: A prospective, randomized trial Pediatric Emergency Care. ,vol. 18, pp. 171- 173 ,(2002) , 10.1097/00006565-200206000-00005
Alan Johnson, George T. Rodeheaver, Linda S. Durand, Milton T. Edgerton, Richard F. Edlich, Automatic disposable stapling devices for wound closure Annals of Emergency Medicine. ,vol. 10, pp. 631- 635 ,(1981) , 10.1016/S0196-0644(81)80086-8
P. Banwell, M. Deakin, J. Holden, B. Powell, Removal of skin staples and the use of EMLA cream British Journal of Plastic Surgery. ,vol. 50, pp. 144- 145 ,(1997) , 10.1016/S0007-1226(97)91334-5
Michael Orlinsky, Richard M Goldberg, Linda Chan, Arturo Puertos, H.Lee Slajer, Cost analysis of stapling versus suturing for skin closure American Journal of Emergency Medicine. ,vol. 13, pp. 77- 81 ,(1995) , 10.1016/0735-6757(95)90248-1