[Interrupted suture versus adhesive dressing in skin closure of pediatric inguinal hernia--a controlled randomized...

Area of Science:

• Pediatric Surgery
• Surgical Materials Science

Background:

• Traditional skin closure in pediatric inguinal hernia repair often involves resorbable sutures.
• Evaluating alternative, cost-effective, and time-efficient closure methods is crucial for optimizing surgical practice.

Purpose of the Study:

• To compare the efficacy and outcomes of resorbable interrupted sutures versus adhesive plasters for skin closure in pediatric inguinal hernia repair.
• To assess complication rates, cosmetic results, operation time, and costs associated with each closure method.

Main Methods:

• A randomized prospective clinical trial involving 100 children undergoing inguinal hernia repair.
• Comparison of skin closure using resorbable interrupted sutures (Dexon 6x0) versus adhesive plasters (Leukostrip).
• Standardized operative technique applied to both groups.

Main Results:

• No significant differences were observed in complication rates between the suture and plaster groups.
• Cosmetic results were comparable between the two closure methods.
• Adhesive plasters significantly reduced operation time and associated costs.

Conclusions:

• Adhesive plasters are a viable and recommended alternative for skin closure in pediatric inguinal hernia repair.
• The use of adhesive plasters offers economic and efficiency benefits without compromising patient safety or aesthetic outcomes.
• This finding supports the adoption of adhesive plasters in clinical practice for this specific pediatric surgical procedure.