A randomized clinical study comparing Trupler skin stapler and Trulon polyamide suture in post-surgical skin closure during orthopaedic and open abdominal surgeries

Authors

  • Debdutta Chatterjee Department of Orthopaedic, Burdwan Medical College, Kolkata, West Bengal, India
  • Nisith Karmakar Department of General Surgery, Burdwan Medical College, Kolkata, West Bengal, India
  • Tirna Halder VitaEternia Clinical Solutions Pvt. Ltd., Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2349-3259.ijct20242001

Keywords:

Abdominal surgery, Orthopaedic surgery, Trulon polyamide suture, Trupler skin stapler

Abstract

Background: The increasing demand for accelerated rehabilitation and shorter hospital stays emphasizes the importance of effective post-surgical skin closure techniques. Orthopaedic and open abdominal surgeries commonly use metal staples or polyamide sutures for wound closure. Surgical site infections (SSIs) remain a significant concern, impacting patient outcomes and healthcare costs.

Methods: This prospective, randomized, single-centre trial aimed to compare clinical outcomes in 140 adult patients, randomized between Trupler skin stapler and Trulon polyamide sutures, undergoing orthopaedic and open abdominal surgeries. The primary endpoint was the incidence of SSI according to CDC criteria. Secondary outcomes included wound complications, post-operative pain, patient satisfaction, cosmetic appearance, time taken for closure, ease of use, and safety of the interventions.

Results: The primary endpoint did not show any significant difference in the number of SSIs between the two groups. Both groups experienced wound complications, but the stapler group showed less severe outcomes. The stapler group demonstrated improved time efficiency and ease of closure, leading to reduced post-operative pain and higher patient satisfaction. Cosmetic outcomes were superior in the stapler group. Adverse events were reported in both groups, with a slightly higher incidence in the suture group.

Conclusions: The Trupler skin stapler demonstrated advantages over Trulon polyamide sutures for wound closure. Despite similar SSI rates, the stapler group experienced improved time efficiency, lower post-operative pain, higher patient satisfaction, and superior cosmetic outcomes. The study supports the preference for Trupler skin stapler for wound closure in orthopaedic and open abdominal surgeries.

References

Frank B. Care of Acute Lacerations. In: Paulman P, Taylor R. (eds) Family Medicine. Springer, Cham. 2015:1-19.

Misha G, Chelkeba L, Melaku T. Incidence, risk factors and outcomes of surgical site infections among patients admitted to Jimma Medical Center, South West Ethiopia: Prospective cohort study. Ann Med Surg (Lond). 2021;65:102247.

El Kinani M, Duteille F. Scar Epidemiology and Consequences. In: Téot L, Mustoe TA, Middelkoop E, Gauglitz GG (eds). Textbook on Scar Management. Springer, Cham. 2020:46-49.

Basson R, Bayat A. Skin scarring: Latest update on objective assessment and optimal management. Front. Med. 2022;9:942756.

Alkaaki A, Al-Radi OO, Khoja A, Alnawawi A, Alnawawi A, Maghrabi A, et al. Surgical site infection following abdominal surgery: a prospective cohort study. Can J Surg. 2019;62(2):111-7.

Miwa S, Yamamoto N, Hayashi K, Takeuchi A, Igarashi K, Tsuchiya H. Surgical Site Infection after Bone Tumor Surgery: Risk Factors and New Preventive Techniques. Cancers. 2022;14(18):4527.

Graan D, Balogh ZJ. Microbiology of fracture related infections. J Orthopaed Surg. 2022;30(3):10225536221118512

Azoury S, Farrow N, Hu Q, Soares K, Hicks C, Azar F, et al. Postoperative abdominal wound infection-epidemiology, risk factors, identification, and management. Chron Wound Care Manage Res. 2015;2:137-48.

Aga E, Keinan-Boker L, Eithan A, Mais T, Rabinovich A, Nassar F. Surgical site infections after abdominal surgery: incidence and risk factors. A prospective cohort study. Infect Dis (Lond). 2015;47:761-7.

Legesse LT, Hiko GD, Abdella SH. Incidence and predictors of surgical site infection in Ethiopia: prospective cohort. BMC Infect Dis. 2017;17:119.

Bayardorj D, Promsatit P, Chirangi BM, Mahmoud E. Surgical Site Infections at Shirati KMT Hospital in Northeastern Tanzania. Cureus. 2023;15(2):e34573.

Sharma G, Prasher N. Sutures versus staplers for skin closure in laparotomy patients: a prospective study. Int Res Med Sci. 2020;8(6):2149-52.

Parameshwara CM, Karthik B. A comparative study between skin staples and skin suture materials in abdominal surgical wound closure. Int Med J. 2015;2:903-5.

Krishnan R, MacNeil SD, Malvankar-Mehta MS. Comparing sutures versus staples for skin closure after orthopaedic surgery: systematic review and meta-analysis. BMJ Open. 2016;6:e009257.

Oswal S, Borle R, Bhola N, Jadhav A, Surana S, Oswal R. Surgical staples: a superior alternative to sutures for skin closure after neck dissection-a single-blinded prospective randomized clinical study. J Oral Maxillofac Surg. 2017;75:1-6.

Huda F, Gajula B, Singh S, Kumar S, Lokavarapu MJ, Sowmya D. Staples versus sutures for skin closure in standard four port laparoscopic cholecystectomy: a prospective cohort study. Cureus. 2021;13:e13725.

Pandey ND, Singh AK, Choudhary AK, Jina G, Thakare A, Supe NB. Comparative evaluation of efficacy of skin staples and conventional sutures in closure of extraoral surgical wounds in neck region: a double-blind clinical study. Natl J Maxillofac Surg. 2022;13:449-56.

Kathare SS, Shinde ND. A comparative study of skin staples and conventional sutures for abdominal skin wound closures. Int Surg J. 2019;6:2168-72.

Liu Z, Liu B, Yang H, Zhao L. Staples versus sutures for skin closure in hip arthroplasty: a meta-analysis and systematic review. J Orthop Surg Res. 2021;16:735.

Mallee WH, Wijsbek AE, Schafroth MU, Wolkenfelt J, Baas DC, Vervest TMJS. Wound complications after total hip arthroplasty: a prospective, randomised controlled trial comparing staples with sutures. HIP Int. 2020;1120700020939075.

Feng J, Jiang X, Zhi Z. Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials. PLoS One. 2021;16(5):e0251022.

Cochetti G, Abraha I, Randolph J, Montedori A, Boni A, Arezzo A, et al. Surgical wound closure by staples or sutures? Systematic review. Medicine (Baltimore). 2020;99(25):e20573.

Downloads

Published

2024-07-25

Issue

Section

Original Research Articles