Research Article
Volume 8 Issue 2 - 2021
Prospective Study of Stapler V/S Conventional Closure of Abdominal Surgical Wounds in Elective Cases
Duvaraha Devi1*, Ram Gopal Sharma2, Prakash Biswas3, Hemangi Gandhi1 and Nitesh Singh4
1Surgery Resident, Department, of General Surgery, Mmimsr, Mmu, Mullana, Ambala, Haryana, India
2Professor, Department, of General Surgery, Mmimsr, Mmu, Mullana, Ambala, Haryana, India
3Senior Resident, Department, of General Surgery, Mmimsr, Mmu, Mullana, Ambala, Haryana, India
4Surgery Resident, Department, of General Surgery, Mmimsr, Mmu, Mullana, Ambala, Haryana, India
*Corresponding Author: Duvaraha Devi, Surgery Resident, Department, of General Surgery, Mmimsr, Mmu, Mullana, Ambala, Haryana, India.
Received: December 03, 2020; Published: January 21, 2021




Abstract

Objective: To study the efficacy and effectivity of stapler closure in terms of hospital stay, aesthetic outcomes, patient comfort and complication in comparison to conventional method.

Study Design: Prospective study.

Place and Duration of the Study: This study was conducted in the Department of General Surgery, M.M. Institute of Medical Science and Research, Maharishi Markandeshwar (Deemed to be University), Mullana, from October 2018 to July 2020.

Materials and Methods: After the approval of the Institutional Ethical Committee, a prospective study for comparison between skin sutures and skin staplers in terms of effectiveness and its complications in 60 patients who underwent elective abdominal surgical procedures. The patients included in this study were randomly selected and divided into two groups stapler and suture (each consists of 30 patients). Correlation has been made in terms of time taken for skin closure (min), post-operative pain (VAS), appearance of scar (cosmesis), satisfaction of patients, duration of hospital stay and complication (SSI) between the two groups.

Results: Stapler group took less duration in skin closure (min) than suture which is statistically significant (p < 0.000). The mean value of post-operative pain (on POD-1) in stapler group was 2.6 while in suture was 5.20. Wound infection was more in suture group with 16% while it is 13% in stapler group. 93% of scar in the staple group was good and 60% in suture group which was statistically significant (p value <0.002). Level of satisfaction in stapler and suture group was 96% and 83% respectively. There was short duration of hospital stay among stapler group with mean value of 4.10 ± 1.40 and in suture group mean value is 8.57 ± 2.19.

Conclusion: Present study has demonstrated that skin stapler is superior to conventional suture. Stapler are effective and yielding less operating time, post-operative pain, less complication (SSI) and good cosmetic result. The duration of hospital stays is also less in the stapler group than suture group. Patients are more satisfied with stapler during post op period and in follow up.

Keywords: Stapler; Sutures; Cosmesis; SSI; Post-Operative Pain; Time for Closure of Wound

References

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Citation: Duvaraha Devi., et al. ““Prospective Study of Stapler V/S Conventional Closure of Abdominal Surgical Wounds in Elective Cases”. EC Gastroenterology and Digestive System 8.2 (2021): 54-67.

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