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Skin Closure at Laparoscopy
1St. George Hospital, Sydney Women's Endosurgery Centre, 1 South Street, Kogarah, NSW, Australia 2217.
Summary
Surgical wound closure after laparoscopy using Steri-Strips or polyglactin sutures resulted in less pain and better cosmetic outcomes compared to nylon sutures. Patient satisfaction was highest with Steri-Strips and polyglactin.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Wound Healing
Background:
- Laparoscopic surgery wound closure choices often lack scientific basis.
- Surgeon preference frequently dictates the method of skin closure.
- Objective comparison of wound closure materials is needed.
Purpose of the Study:
- To determine the optimal wound closure material for laparoscopic port sites.
- To compare patient-reported pain, wound appearance, and satisfaction.
- To evaluate surgeon-assessed wound outcomes.
Main Methods:
- Randomized controlled trial involving 90 women undergoing laparoscopy.
- Comparison of interrupted 3-0 nylon sutures, subcuticular 3-0 polyglactin sutures, and Steri-Strips for skin closure.
- Patient-reported pain, appearance, and satisfaction; surgeon assessment at 4 weeks.
Main Results:
- Subcuticular polyglactin and Steri-Strips showed significantly lower pain scores compared to nylon sutures.
- Wound appearance and patient satisfaction were superior with polyglactin and Steri-Strips.
- Surgeon assessments corroborated improved outcomes with polyglactin and Steri-Strips.
Conclusions:
- Subcuticular polyglactin sutures and Steri-Strips are preferable to nylon sutures for laparoscopic port site closure.
- These methods offer better pain management and cosmetic results.
- Evidence-based choices can improve patient experience after laparoscopy.