Comparison of Skin Staples and Standard Sutures for Closing Incisions After Head and Neck Cancer Surgery: A Double-Blind, Randomized and Prospective Study
Comparison of Skin Staples and Standard Sutures for Closing Incisions After Head and Neck Cancer Surgery: A Double-Blind, Randomized and Prospective Study
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DOI：
10.1007/s12663-015-0809-y
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发表时间：
2016-06-01
影响因子：
0.9
通讯作者：
Vakade, Chinmay Dilip
中科院分区：
文献类型：
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作者：
Batra, Jitender;Bekal, Rajesh Kumar;Vakade, Chinmay Dilip
目的探讨头颈部肿瘤手术中皮钉缝合术与常规缝合术的优缺点。材料与方法共纳入80例患者，对照组和研究组各40例。这些患者在头颈癌手术后接受了切口伤口的闭合。对照组用3-0丝缝合皮肤切口，研究组用不锈钢订书钉缝合皮肤切口。比较两组的闭合速度、成本效益、拔除疼痛、患者舒适度、拔除当天、拔除后15天和30天的美观结果以及并发症。结果对照组平均切口长度为54 +/- 16.3 cm，研究组平均切口长度为53.7 +/- 15.4 cm，差异无统计学意义（P = 0.95）。对照组平均闭合时间为34.2 +/- 12 min，研究组平均闭合时间为3.3 +/- 1.2 min，差异有统计学意义（P < 0.001）。对照组皮肤闭合材料的平均成本为270.0 +/- 46.4卢比，研究组为517.5 +/- 135.7卢比，差异均有统计学意义（P < 0.001）。结论皮肤钉在头颈癌手术中缝合速度快10倍，成本效益好，且在患者舒适度、美观性和并发症发生率方面与传统缝合线相似，是头颈癌手术中较传统缝合线更好的选择。
Purpose To investigate the merits and demerits of stapled skin closure when compared to conventional sutures in head and neck cancer surgery.Materials and Methods A total of 80 patients (40 patients each in control and study group) were enrolled. The patients underwent closure of incision wounds following head and neck cancer surgical procedures. Skin incisions were closed with sutures using 3-0 silk in control group and with stainless steel staples in study group. Both the groups were compared for speed of closure, cost effectiveness, pain on removal, patient comfort, aesthetic outcome on day of removal, 15 and 30 days after day of removal and complications.Results The mean incision length in control group was 54 +/- 16.3 cm while in study group was 53.7 +/- 15.4 cm which was statistically not significant (P = 0.95). The mean time of closure in control group was 34.2 +/- 12 min while in study group was 3.3 +/- 1.2 min which was statistically highly significant (P < 0.001). The mean cost of material for skin closure in control group was Rs. 270.0 +/- 46.4 and in study group was Rs. 517.5 +/- 135.7 which was also statistically highly significant (P < 0.001).Conclusion It was concluded that skin staples are better alternatives to conventional sutures in head and neck cancer surgery as they offer ten times faster wound closure, cost effectiveness, and similar results to sutures in terms of patient comfort, aesthetic outcome and complication rate.