Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.

摘要: Background Surgical site infections (SSIs) are common postoperative complications. Whether the use of staples or sutures makes a difference in abdominal surgery's infection rate remains elusive. Methods A systematic review was performed to identify randomized clinical trials comparing and after surgeries. Eligibility criteria involved SSI occurrence as primary outcome incidence wound dehiscence, closure time, cosmesis, patient satisfaction secondary outcomes. Results Of 278 studies identified, seven controlled representing 3705 patients were included this review. There no significant rates between general (OR = 0.98, 95% CI 0.79-1.22, I2 44%, P 0.1) subgroup gastrointestinal surgery, where subcuticular suturing found with comparable risk skin stapling 0.85, 0.66-1.09). Staple associated shorter surgery duration, whereas appeared provide better cosmesis satisfaction. Sutures achieved dehiscence. between-study publication bias. Conclusion Our study demonstrated similar outcomes for undergoing surgery.