Comparison of Different Suture Techniques

DURUKAN, POLAT; kavalci, cemil; Sayhan, Mustafa Burak; ÇEVİK, Yunsur

Comparison of Different Suture Techniques

Cemil KAVALCI, (Başkent Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Ankara, Türkiye)

Yunsur ÇEVİK, (Keçiören Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Ankara, Türkiye)

Polat DURUKAN, (Erciyes Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Kayseri, Türkiye)

Mustafa Burak SAYHAN (Trakya Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Edirne, Türkiye)

Journal of Clinical and Analytical Medicine

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Yıl: 2015 Cilt: 6 Sayı: 1 Sayfa Aralığı: 15 - 17 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Comparison of Different Suture Techniques

Öz:

Amaç: Travmalar acil servise sık başvuru nedenlerindendir. Sütür, skalp kesisi olan hastaların tedavisinde sıklıkla gereklidir. Bu çalışmada skalp kesisiolan hastalarda farklı sütür tekniklerinin yara iyileşmesi, hasta memnuniyeti ve maliyet üzerine etkisinin araştırılması amaçlanmıştır. Gereç ve Yöntem:Çalışmaya toplam 60 hasta alındı. Hastalar geleneksel sütür (Grup 1), stapler(Grup 2) ve doku yapıştırıcı grubu (Grup 3) olarak üç gruba ayrıldı. Gruplarınkarşılaştırılmasında χ2 ve Kruskal-Wallis testleri kullanıldı. p<0.05 değeri istatistiksel olarak anlamlı kabul edildi. Bulgular: Hastaların 2/3ü erkekti. En fazla hasta memnuniyeti 3. gruptaydı (p<0.05). Maliyet açısından en ucuzu dokuyapıştırıcılardı (p<0.05). Tartışma: Yaygın geleneksel inanışın tersine doku yapıştırıcı ve stapler gibi alternatif sütür teknikleri pahalı değildir. En fazla hasta memnuniyeti doku yapıştırıcı kullanılan gruptaydı.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Farklı Sütür Tekniklerinin Karşılaştırılması

Öz:

Aim: Traumas are frequent causes of presentation to emergency departments.Suturing is usually required in treatment of patients with scalp laceration.This study aimed to investigate different suture methods with respect ofpatient satisfaction, wound healing, and treatment cost in patients withscalp laceration. Material and Method: A total of 60 patients were includedin the study. The patients were divided into 3 groups; traditional suturing(Group 1), stapling (Group 2), and the tissue adhesive (Group 3) groups. Chi- Square and Kruskal-Wallis tests were used for comparison of the groups. Ap value less than 0.05 was considered statistically significant. Results: Two- thirds of the patients were male. The patient satisfaction was highest inthe Group 3 (p<0.05). Tissue adhesive group had the lowest treatment cost(p<0.05).Discussion: In contrast to existing traditional belief, the alternativesuture methods, i.e. tissue adhesives and staples are not expensive. Thepatient satisfaction was highest in the tissue adhesive group.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Kanegaye JT, Vance CW, Chan L, Schonfeld N. Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations: a randomized study of cost and time benefits. J Pediatr 1997;130(5):808-13.
2. Nelson DS, Walsh K, Fleisher GR. Spectrum and frequency of pediatric illness presenting to a general community hospital emergency department. Pediatrics 1992;90(1Pt1):5-10.
3. Durkaya S, Kaptanoglu M, Nadir A, Yilmaz S, Ziynet Cinar, Dogan K. Do Absorb- able Sutures Exacerbate Presternal Scarring? Tex Heart Inst J 2005;32(5):544-8.
4. Gabel EA, Jimenez GP, Eaglstein WH, Kerdel FA, Falanga V. Performance com- parison of nylon and an absorbable suture material (Polyglactin 910) in the closure of punch biopsy sites. Dermatol Surg 2000;26(8):750-3.
5. Parell GJ, Becker GD. Comparison of absorbable with nonabsorbablesutures in closure of facial skin wounds. Arch Facial Plast Surg 2003;5(6):488-90.
6. McGuire J, Wright IC, Leverment JN. Surgical stapless: A review. J R Coll Surg Edinb 1997;42(1):1-9.
7. Osmond MH, Klassen TP, Quinn JV. Economic comparison of a tissue adhesive and suturing in the repair of pediatric facial lacerations. J Pediatr 1995;126(6):8925.
8. Farion KJ, Russell KF, Osmond MH, Hartling L, Klassen TP, Durec T, et al. Tissue adhesives for traumatic lacerations in children and adults (Review). Cochrane Database Syst Rev doi:10.1002/14651858.CD003326. 9. Farion KJ, Osmand MH, Hartling L, Russell KF, Klassen TP, Crumley E, Wiebe Net al. Tissue Adhesives for Traumatic Lacerations: A Systematic Review of Randomized Controlled Trials. Acad Emerg Med 2003;10(2):110-8.
10. George TK, Simpson DC. Skin wound closure with staples in the accident and emergency department. J R Coll Surg Edinb 1985;30(1):54-6.
11. MacGregor FB, McCombe AW, King PM, Macleod DAD. Skin stapling of wounds in the accident department. Injury 1989;20(6):347-8.
12. Souza SC, Briglia C, Costa SR. Repair of cutaneous wounds with the use of low cost surgical glue. An Bras Dermatol 2012;87(2):241-9.
13. Coulthard P, Esposito M, Worthington HV, van der Elst M, van Waes OJ, Darcey J. Tissue adhesives for closure of surgical incisions. Cochrane Database Syst Rev doi: 10.1002/14651858.CD004287.
14. Karaduman S, Yürüktümen A, Güryay SM, Bengi F,Fowler JR Jr. Modified hair apposition technique as the primary closure method for scalp lacerations. Am J Emerg Med 2009;27(9):1050-5.
15. Biancari F, Tiozzo V. Staples versus sutures for closing leg wounds after vein graft harvesting for coronary artery bypass surgery. Cochrane Database Syst Rev doi: 10.1002/14651858.CD008057.
16. Smith TO, Sexton D, Mann C, Donell S. Sutures versus staples for skin closure in orthopaedic surgery: meta-analysis. BMJ doi: 10.1136/bmj.c1199.

APA	kavalci c, ÇEVİK Y, DURUKAN P, Sayhan M (2015). Comparison of Different Suture Techniques. , 15 - 17.
Chicago	kavalci cemil,ÇEVİK Yunsur,DURUKAN POLAT,Sayhan Mustafa Burak Comparison of Different Suture Techniques. (2015): 15 - 17.
MLA	kavalci cemil,ÇEVİK Yunsur,DURUKAN POLAT,Sayhan Mustafa Burak Comparison of Different Suture Techniques. , 2015, ss.15 - 17.
AMA	kavalci c,ÇEVİK Y,DURUKAN P,Sayhan M Comparison of Different Suture Techniques. . 2015; 15 - 17.
Vancouver	kavalci c,ÇEVİK Y,DURUKAN P,Sayhan M Comparison of Different Suture Techniques. . 2015; 15 - 17.
IEEE	kavalci c,ÇEVİK Y,DURUKAN P,Sayhan M "Comparison of Different Suture Techniques." , ss.15 - 17, 2015.
ISNAD	kavalci, cemil vd. "Comparison of Different Suture Techniques". (2015), 15-17.

APA	kavalci c, ÇEVİK Y, DURUKAN P, Sayhan M (2015). Comparison of Different Suture Techniques. Journal of Clinical and Analytical Medicine, 6(1), 15 - 17.
Chicago	kavalci cemil,ÇEVİK Yunsur,DURUKAN POLAT,Sayhan Mustafa Burak Comparison of Different Suture Techniques. Journal of Clinical and Analytical Medicine 6, no.1 (2015): 15 - 17.
MLA	kavalci cemil,ÇEVİK Yunsur,DURUKAN POLAT,Sayhan Mustafa Burak Comparison of Different Suture Techniques. Journal of Clinical and Analytical Medicine, vol.6, no.1, 2015, ss.15 - 17.
AMA	kavalci c,ÇEVİK Y,DURUKAN P,Sayhan M Comparison of Different Suture Techniques. Journal of Clinical and Analytical Medicine. 2015; 6(1): 15 - 17.
Vancouver	kavalci c,ÇEVİK Y,DURUKAN P,Sayhan M Comparison of Different Suture Techniques. Journal of Clinical and Analytical Medicine. 2015; 6(1): 15 - 17.
IEEE	kavalci c,ÇEVİK Y,DURUKAN P,Sayhan M "Comparison of Different Suture Techniques." Journal of Clinical and Analytical Medicine, 6, ss.15 - 17, 2015.
ISNAD	kavalci, cemil vd. "Comparison of Different Suture Techniques". Journal of Clinical and Analytical Medicine 6/1 (2015), 15-17.