DOES A SUBCUTICULAR NON-ABSORBABLE SKIN SUTURE GIVE BETTER OUTCOME THAN CLIPS IN ELECTIVE OPEN COLORECTAL SURGERY?
Keywords:
Skin, closure, wound, infection, skin clips, sub-cuticularAbstract
Obective: To assess the patient satisfaction and wound outcomes in both techniques of wound closure
Material and Methods: A prospective cohort study including all the patients who underwent elective open colorectal
surgery, in a single unit, from May 2015 to May 2017 at Mid Cheshire Hospital Trust Crewe, UK. Patients allocated to
Subcuticular-suture or Skin-clips groups randomly depending on surgeons’ choice. Data was collected on patient
demographics, type of surgery, and methods of skin closure, rate of wound infection, cosmetic satisfaction and overall
patient satisfactions.
Result: Three hundred and sixty nine patients were recruited and 218 patients completed the study, 134 patients were
allocated to Skin Suture (SS) group with median age of 67 (IQR 61, 74). Skin Clips (SC) group had a total of 84 patients
with a median age of 69 (IQR 61, 71). 15% of SS group developed wound infection, compared to 20 % in SC group
(p<0.05). Over all 61% of SS group claimed excellent results compared to 46% in SC group (p<0.05).
Conclusion: Patients with non-absorbable subcuticular skin closure compared to skin-clips had low infection rates,
better cosmetic and patient satisfaction outcome
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