Comparative study of a barbed suture, poliglecaprone and stapler in Pfannenstiel incisions performed for benign gynecological procedures: a randomized trial
| Autor: | Orhan Ünal, M. Murat Naki, Hasniye Celik Acioglu, Bülent Kars, Sadullah Ozkan, Olus Api |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
medicine.medical_specialty Population law.invention Cicatrix Young Adult Gynecologic Surgical Procedures Surgical Staplers Randomized controlled trial Suture (anatomy) Obstetrics and gynaecology law Humans Medicine education Pain Postoperative Wound Healing education.field_of_study Sutures business.industry Wound dehiscence Suture Techniques Obstetrics and Gynecology Cosmesis General Medicine Middle Aged medicine.disease Surgery Barbed suture Patient Satisfaction Seroma Female business |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica. 89:1473-1477 |
| ISSN: | 1600-0412 0001-6349 |
| DOI: | 10.3109/00016349.2010.516815 |
| Popis: | To compare a novel barbed suture, poliglecaprone-25 suture and stapler in Pfannenstiel incisions performed for benign gynecological procedures.A randomized controlled non-inferiority trial with randomization in a 1:1:1 ratio.Istanbul Dr. Lutfi Kirdar Kartal Research and Training Hospital, Department of Obstetrics and Gynecology.Patients between 18 and 45 years of age without prior lower abdominal incision and undergoing Pfannenstiel incisions for benign gynecological procedures.A total of 117 female patients randomized into barbed (n = 39), poliglecaprone-25 (n = 39) and stapler (n = 39) groups according to suture type. Skin closure techniques were compared in terms of length of incision (cm), adverse events (wound dehiscence, incisional infection, seroma and hematoma), subjective pain scores, patient satisfaction and postoperative scar cosmesis. MAIN OUTCOME MEASURES. The difference between three suture materials in terms of postoperative incision pain, patient satisfaction and scar cosmesis.Skin closure techniques were similar in terms of length of incision (cm), adverse events and pain scores and Modified Hollander Cosmesis Score. Barbed (p0.001) and poliglecaprone-25 (p0.01) sutures were significantly better than staplers in terms of patient satisfaction.The three different methods of skin closure revealed comparable outcome except for a significant superiority of sutures to the stapler method in terms of patient satisfaction scores. |
| Databáze: | OpenAIRE |
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