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A randomised study to evaluate two different skin closure techniques : subcuticular sutures vs. staples : an investigation into patient satisfaction

Thesis (MMed)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: OBJECTIVE
The purpose of the study is to establish the best method of wound closure with
regards to patient satisfaction that includes wound cosmesis and pain.
STUDY DESIGN
One hundred patients were randomised to two groups for the closure of
abdominal wounds; one group had subcuticular sutures and the other staples.
They were followed up at 6 weeks. The primary outcome was patient
satisfaction that includes wound cosmesis and pain. The secondary outcome
was wound complications.
RESULTS In women undergoing abdominal operations there was no difference as regards
the patient satisfaction in both the groups, subcuticular sutures n= 51 vs. staples
n=49 (P = 0.76).
CONCLUSION
Our study suggest that there is no statistically significant difference in the
methods of wound closure, subcuticular sutures vs. staples as regards the patient
satisfaction and the appearance of the scar leaving the decision in the hands of
the surgeon to choose any method according to their own personnel preference
and availability. / AFRIKAANSE OPSOMMING: NAVORSINGSDOEL
Die fokus van hierdie projek is om vas te stel wat die beste metode van vel
sluiting is ten opsigte van pasiënt bevrediging ten opsigte van wond voorkoms
en pyn.
METODES
Een honderd pasiënte is ewekansig verdeel tot velsluiting van abdominale
wonde met subkutane oplosbare steke of velhakies. Evaluasie is gedoen tydens
‘n opvolg besoek 6 weke na chirurgie. Die hoof uitkoms was pasiënt
tevredenheid. Evaluasie van wond komplikasies is as sekondêre uitkoms
beskryf.
RESULTATE Vroulike pasiënte wat ‘n Pfannenstiel velinsnyding ondergaan toon geen verskil
in pasiënt tevredenheid wanneer subkutane steke (n = 51) met velhakies (n =
49) vergelyk word nie (P = 0.76).
SAMEVATTING
Ons projek het geen statisties beduidende verskil getoon ten opsigte van pasiënt
tevredenheid of wond voorkoms met 6 weke opvolg nie. Dit laat dus die besluit by die chirurg om metode van velsluiting te kies afhangend van voorkeur en
toerusting beskikbaarheid.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/71777
Date12 1900
CreatorsKalim, Mahnaz
ContributorsBotha, H., Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Obstetrics and Gynaecology.
PublisherStellenbosch : Stellenbosch University
Source SetsSouth African National ETD Portal
Detected LanguageEnglish
TypeThesis
Format69 p.
RightsStellenbosch University

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