Sutures versus staples for the management of surgical wounds: A meta-analysis of randomized controlled trials

Iavazzo, C; Gkegkes, ID; Vouloumanou, EK; Mamais, I; Peppas, G; Falagas, ME

dc.contributor.author	Iavazzo, C	en
dc.contributor.author	Gkegkes, ID	en
dc.contributor.author	Vouloumanou, EK	en
dc.contributor.author	Mamais, I	en
dc.contributor.author	Peppas, G	en
dc.contributor.author	Falagas, ME	en
dc.date.accessioned	2014-03-01T01:37:11Z
dc.date.available	2014-03-01T01:37:11Z
dc.date.issued	2011	en
dc.identifier.issn	0003-1348	en
dc.identifier.uri	https://dspace.lib.ntua.gr/xmlui/handle/123456789/21474
dc.relation.uri	http://www.scopus.com/inward/record.url?eid=2-s2.0-80052043801&partnerID=40&md5=564482017b9c6d7b95ee42e2b984f89c	en
dc.subject.classification	Surgery	en
dc.subject.other	article	en
dc.subject.other	comparative study	en
dc.subject.other	emergency care	en
dc.subject.other	esthetics	en
dc.subject.other	general surgery	en
dc.subject.other	gynecologic surgery	en
dc.subject.other	head and neck surgery	en
dc.subject.other	hematoma	en
dc.subject.other	human	en
dc.subject.other	hypertrophic scar	en
dc.subject.other	meta analysis	en
dc.subject.other	obstetric operation	en
dc.subject.other	pain	en
dc.subject.other	patient satisfaction	en
dc.subject.other	randomized controlled trial (topic)	en
dc.subject.other	seroma	en
dc.subject.other	stapler	en
dc.subject.other	surgical wound	en
dc.subject.other	suture	en
dc.subject.other	systematic review	en
dc.subject.other	vascular surgery	en
dc.subject.other	wound closure	en
dc.subject.other	wound dehiscence	en
dc.subject.other	wound infection	en
dc.subject.other	Equipment Design	en
dc.subject.other	Humans	en
dc.subject.other	Randomized Controlled Trials as Topic	en
dc.subject.other	Surgical Wound Dehiscence	en
dc.subject.other	Suture Techniques	en
dc.subject.other	Sutures	en
dc.title	Sutures versus staples for the management of surgical wounds: A meta-analysis of randomized controlled trials	en
heal.type	journalArticle	en
heal.language	English	en
heal.publicationDate	2011	en
heal.abstract	Surgical sutures are conventionally used in skin closure of surgical wounds. Alternative wound closure techniques include staples and adhesive strips. We aimed to evaluate sutures versus staples as methods of surgical wound closure by performing a meta-analysis. We searched PubMed, Scopus, and Cochrane Central Register of Controlled Trials for randomized controlled trials that compared sutures with staples for surgical wound closure. Trials referring to orthopedic operations were excluded. Twenty studies (involving a total of 2111 patients) were included. Five studies referred to obstetrics/gynecological operations, seven to general surgery, four to emergency care treatment, three to head/neck operations, and one to vascular surgery. Regarding the time needed for wound closure, staples were superior to sutures; the mean difference observed between the sutures and staples groups was 5.56 minutes per wound (95% confidence intervals [CI], 0.05 to 11.07). Wound infections were significantly fewer in the staples group compared with the sutures group(s) (12 studies, 1529 patients; odds ratio, 2.06; 95% CI, 1.20 to 3.51). In five studies, the use of staples was associated with significantly more pain compared with sutures. The majority of studies with available relevant data reported nonsignificant differences regarding the cosmetic result and patient's satisfaction. Our findings suggest that staples are associated with fewer wound infections compared with sutures in the evaluated types of surgery. However, in a rather limited number of studies, the use of staples was associated with more pain. Further studies incorporating more objective methods for assessment cosmetic and patient satisfaction are required to clarify this issue.	en
heal.publisher	SOUTHEASTERN SURGICAL CONGRESS	en
heal.journalName	American Surgeon	en
dc.identifier.isi	ISI:000295343700017	en
dc.identifier.volume	77	en
dc.identifier.issue	9	en
dc.identifier.spage	1206	en
dc.identifier.epage	1221	en