Subcuticular Versus Mattress Skin Closure Techniques following OBGYN Laparotomies by Low Transverse Incision

Vasudeva, Akhila and Poojari, Vidyashree G and Rudrappa, Shanthala and Shetty, Jyothi and Kumar, Pratap (2016) Subcuticular Versus Mattress Skin Closure Techniques following OBGYN Laparotomies by Low Transverse Incision. IOSR Journal Of Pharmacy, 6 (11). pp. 42-46. ISSN 2250-3013

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Objective: To compare two widely used skin closure techniques – intermittent mattress and continuous subcuticular suturing, for low transverse laparotomy incisions among obstetrics/gynaecological surgeries including caesarean section, myomectomy, hysterectomy etc. Methodology: Prospective observational study of 336 such incisions; 247 mattress and 87 subcuticular. Mattress group had a higher incidence of obesity and previous abdominal surgeries. Scars were assessed between three to seven postoperative days as well as during their postoperative visit between 4-6 weeks.Results: Incidence of wound site induration/ erythema /discharge /surgical site infection were similar in both the groups. Wound dehiscence and postoperative pain Mean score in Visual analogue score were more in mattress than in subcuticular group. At 4-6 weeks, overall patient satisfaction was higher among subcuticular than among mattress group, however objective scoring by patient observer scar assessment scale was similar between the two groups.Conclusion: Mattress suturing leads to poorer immediate skin approximation, more pain, and poorer patient satisfaction compared to subcuticular suturing. However objective scar assessment at 6 weeks yielded similar results for two groups, despite higher prevalence of obesity and previous abdominal surgeries in the former group.

Item Type: Article
Uncontrolled Keywords: Laparotomy; Low transverse incision; Skin closure techniques; Subcuticular; Intermittent mattress
Subjects: Medicine > KMC Manipal > Obstetrics & Gynaecology
Depositing User: KMC Library
Date Deposited: 21 Feb 2018 04:24
Last Modified: 21 Feb 2018 04:24

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