Randomized Comparison of Subcuticular Sutures Versus Staples for Skin Closure After Open Abdominal Surgery: a
Kazuhiro Imamura1, Kensuke Adachi2,3, Ritsuko Sasaki1
1Department of Surgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Summary
Subcuticular sutures and staples show similar rates for superficial surgical site infections (SSIs) after open abdominal surgery. This finding suggests wound closure choice may depend on individual patient and procedure factors.
Area of Science:
- Surgical Innovation
- Infection Control
- Clinical Trials
Background:
- Incisional surgical site infection (SSI) is a frequent complication of open abdominal surgery.
- SSIs lead to significant treatment burdens and costs.
Purpose of the Study:
- To compare the efficacy of subcuticular sutures versus staples for wound closure in preventing superficial SSIs.
- To evaluate the impact of different wound closure methods on SSI rates in open laparotomy patients.
Main Methods:
- A multicenter, open-label, randomized controlled trial was conducted.
- Adult patients undergoing open laparotomy were randomized to wound closure with either subcuticular sutures or staples.
- The primary endpoint was the occurrence of superficial SSI within 30 days, assessed by CDC criteria.
Main Results:
- 401 patients were enrolled; 199 received subcuticular sutures and 202 received staples.
- Superficial SSIs occurred in 12.6% of the suture group and 13.4% of the staple group.
- No significant difference in superficial SSI rates was observed between the two groups.
Conclusions:
- Subcuticular sutures do not increase the risk of superficial SSIs after open laparotomy.
- The choice of wound closure material and method may be influenced by patient-specific and procedural factors.
