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  • Study shows insufficient decrease in wound complications with sutured versus stapled skin closure in gastrointestinal operations

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Therapeutics
Randomised controlled trial
Study shows insufficient decrease in wound complications with sutured versus stapled skin closure in gastrointestinal operations
  1. Hong Vo,
  2. Cindy Kin
  1. Department of Surgery, Stanford University Medical Center, Stanford, California, USA
  1. Correspondence to : Dr Cindy Kin, Department of Surgery, Stanford University Medical Center, 300 Pasteur Drive, H3680 Stanford, CA 94305, USA; cindykin{at}stanford.edu

https://doi.org/10.1136/eb-2013-101626

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    Commentary on: Tsujinaka T, Yamamoto K, Fujita J, et al. Subcuticular sutures versus staples for skin closure after open gastrointestinal surgery: a phase 3, multicentre, open-label, randomised controlled trial. Lancet 2013;382:1105–12.OpenUrlCrossRefPubMedWeb of Science

    Context

    Postoperative wound complications can occur in 9–26% of gastrointestinal operations.1–3 Skin closure with subcuticular sutures in clean operations, such as caesarean sections, are associated with decreased wound complications and increased patient satisfaction when compared with skin closure using staples.4 ,5 Whether these results are applicable to clean–contaminated operations is unknown. Tsujinaka and colleagues examined the incidence of wound complications after open gastrointestinal operations in patients undergoing skin closure with subcuticular sutures versus staples.

    Methods

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    Footnotes

    • Competing interests None.