Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.

<h4>Background</h4>Surgical site infections (SSIs) are common postoperative complications. Whether the use of staples or sutures makes a difference in abdominal surgery's infection rate remains elusive.<h4>Methods</h4>A systematic review was performed to identify randomi...

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Autores principales:	Juntao Feng, Xiaoli Jiang, Zhifu Zhi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ba6653d390a540a081572992258e57bc
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spelling	oai:doaj.org-article:ba6653d390a540a081572992258e57bc2021-11-25T06:19:21ZSubcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.1932-620310.1371/journal.pone.0251022https://doaj.org/article/ba6653d390a540a081572992258e57bc2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251022https://doaj.org/toc/1932-6203<h4>Background</h4>Surgical site infections (SSIs) are common postoperative complications. Whether the use of staples or sutures makes a difference in abdominal surgery's infection rate remains elusive.<h4>Methods</h4>A systematic review was performed to identify randomized clinical trials comparing staples and sutures after abdominal surgeries. Eligibility criteria involved the SSI occurrence as the primary outcome and the incidence of wound dehiscence, closure time, cosmesis, and patient satisfaction as the secondary outcomes.<h4>Results</h4>Of the 278 studies identified, seven randomized controlled trials representing 3705 patients were included in this review. There was no significant difference in SSI rates between sutures and staples in general (OR = 0.98, 95% CI = 0.79-1.22, I2 = 44%, P = 0.1) or in a subgroup of gastrointestinal surgery, where subcuticular suturing was found with a comparable SSI risk with skin stapling (OR = 0.85, 95% CI = 0.66-1.09). Staple closure was associated with a shorter surgery duration, whereas sutures appeared to provide better cosmesis and patient satisfaction. Sutures and staples achieved a comparable incidence of dehiscence. There was no significant between-study publication bias.<h4>Conclusion</h4>Our study demonstrated similar outcomes in SSI rate between subcuticular sutures and staples for skin closure in patients undergoing abdominal surgery.Juntao FengXiaoli JiangZhifu ZhiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251022 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Juntao Feng Xiaoli Jiang Zhifu Zhi Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.
description	<h4>Background</h4>Surgical site infections (SSIs) are common postoperative complications. Whether the use of staples or sutures makes a difference in abdominal surgery's infection rate remains elusive.<h4>Methods</h4>A systematic review was performed to identify randomized clinical trials comparing staples and sutures after abdominal surgeries. Eligibility criteria involved the SSI occurrence as the primary outcome and the incidence of wound dehiscence, closure time, cosmesis, and patient satisfaction as the secondary outcomes.<h4>Results</h4>Of the 278 studies identified, seven randomized controlled trials representing 3705 patients were included in this review. There was no significant difference in SSI rates between sutures and staples in general (OR = 0.98, 95% CI = 0.79-1.22, I2 = 44%, P = 0.1) or in a subgroup of gastrointestinal surgery, where subcuticular suturing was found with a comparable SSI risk with skin stapling (OR = 0.85, 95% CI = 0.66-1.09). Staple closure was associated with a shorter surgery duration, whereas sutures appeared to provide better cosmesis and patient satisfaction. Sutures and staples achieved a comparable incidence of dehiscence. There was no significant between-study publication bias.<h4>Conclusion</h4>Our study demonstrated similar outcomes in SSI rate between subcuticular sutures and staples for skin closure in patients undergoing abdominal surgery.
format	article
author	Juntao Feng Xiaoli Jiang Zhifu Zhi
author_facet	Juntao Feng Xiaoli Jiang Zhifu Zhi
author_sort	Juntao Feng
title	Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.
title_short	Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.
title_full	Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.
title_fullStr	Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.
title_full_unstemmed	Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.
title_sort	subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: a meta-analysis of randomized controlled trials.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ba6653d390a540a081572992258e57bc
work_keys_str_mv	AT juntaofeng subcuticularsuturesversusstaplesforskinclosureinpatientsundergoingabdominalsurgeryametaanalysisofrandomizedcontrolledtrials AT xiaolijiang subcuticularsuturesversusstaplesforskinclosureinpatientsundergoingabdominalsurgeryametaanalysisofrandomizedcontrolledtrials AT zhifuzhi subcuticularsuturesversusstaplesforskinclosureinpatientsundergoingabdominalsurgeryametaanalysisofrandomizedcontrolledtrials
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Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials.

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