Department of Surgery, School of Medicine, Lorestan University of Medical Science, Khorramabad, Iran.
Department of Surgery, School of Medicine, Shahid Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran.
Infect Disord Drug Targets. 2021 Sep 16;21(6):e270421190327. doi: 10.2174/1871526521666210114160130.
Postoperative complications such as wound infection and scarring are some of the major concerns regarding suturing techniques. This study is designed to evaluate postoperative outcomes of adhering subcuticular sutures in comparison to the interrupted suturing method in patients who underwent appendectomy for uncomplicated acute appendicitis.
240 patients were randomly assigned into two groups; 120 with interrupted and 120 subcuticular sutures after an appendectomy, at Shohada Ashayer hospital, Khorramabad, Iran. The prevalence of wound infection, three days after the surgery in the hospital and a week after discharge was determined and evaluated statistically.
No wound infection was seen within three days of hospitalization in the subcuticular group whereas, 1 patient reported infection in the interrupted group, however, the difference was not statistically significant. A week after discharge, a patient was reported to have wound infection in the subcuticular group and 2 in the interrupted group. No significant difference was seen in this regard either. 55 females and 66 males received subcuticular sutures whereas, 74 males and 46 females were given interrupted sutures for wound closing. One male in interrupted and 1 male and female in the subcuticular group were referred for wound infection, after discharge, respectively. Among these groups, no significant differences were seen. In catarrhal appendicitis, the infection was reported in the interrupted group only which was not statistically significant.
Subcuticular sutures provide better cosmetic outcomes without any additional complications in comparison to interrupted sutures.
术后并发症如伤口感染和瘢痕形成是人们对缝合技术的主要关注点之一。本研究旨在评估在接受单纯性急性阑尾炎切除术的患者中，与间断缝合相比，皮下缝合的术后结果。
240 名患者被随机分为两组；120 名接受间断缝合，120 名接受皮下缝合，在 Shohada Ashayer 医院，伊朗霍拉马巴德。术后三天在医院和出院后一周确定并评估伤口感染的发生率。
皮下组在住院三天内无伤口感染，而间断组有 1 例患者报告感染，但差异无统计学意义。出院后一周，皮下组有 1 例患者和间断组有 2 例患者报告有伤口感染。在这方面也没有显著差异。55 名女性和 66 名男性接受皮下缝合，而 74 名男性和 46 名女性接受间断缝合用于伤口关闭。间断组有 1 名男性和皮下组有 1 名男性和 1 名女性在出院后因伤口感染而转诊。在这些组中，没有显著差异。在卡他性阑尾炎中，仅间断组报告有感染，但无统计学意义。
与间断缝合相比，皮下缝合可获得更好的美容效果，且无任何额外并发症。
