一项随机临床研究,比较 Trupler 皮肤缝合器和 Trulon 聚酰胺缝合线在矫形外科手术和开腹手术中的术后皮肤缝合效果

Debdutta Chatterjee, Nisith Karmakar, Tirna Halder
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摘要

背景:对加速康复和缩短住院时间的需求日益增长,这强调了有效的术后皮肤闭合技术的重要性。骨科和开腹手术通常使用金属订书针或聚酰胺缝合线进行伤口缝合。手术部位感染(SSIs)仍然是一个重大问题,影响着患者的治疗效果和医疗成本:这项前瞻性、随机、单中心试验旨在比较 140 名接受骨科手术和开腹手术的成年患者的临床疗效。根据美国疾病预防控制中心的标准,主要终点是 SSI 的发生率。次要结果包括伤口并发症、术后疼痛、患者满意度、外观、缝合所需的时间、易用性和干预措施的安全性:结果:主要终点结果显示,两组的 SSI 数量无明显差异。两组都出现了伤口并发症,但订书机组的并发症较少。订书机组的时间效率更高,伤口更容易闭合,从而减少了术后疼痛,提高了患者满意度。订书机组的美容效果更好。两组均有不良反应报告,缝合组的不良反应发生率略高:结论:在伤口缝合方面,Trupler订书机比Trulon聚酰胺缝合线更具优势。尽管 SSI 发生率相似,但订书机组的时间效率更高,术后疼痛更轻,患者满意度更高,美容效果更好。这项研究支持在骨科和开腹手术中使用特鲁勒皮肤缝合器缝合伤口。
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A randomized clinical study comparing Trupler skin stapler and Trulon polyamide suture in post-surgical skin closure during orthopaedic and open abdominal surgeries
Background: The increasing demand for accelerated rehabilitation and shorter hospital stays emphasizes the importance of effective post-surgical skin closure techniques. Orthopaedic and open abdominal surgeries commonly use metal staples or polyamide sutures for wound closure. Surgical site infections (SSIs) remain a significant concern, impacting patient outcomes and healthcare costs. Methods: This prospective, randomized, single-centre trial aimed to compare clinical outcomes in 140 adult patients, randomized between Trupler skin stapler and Trulon polyamide sutures, undergoing orthopaedic and open abdominal surgeries. The primary endpoint was the incidence of SSI according to CDC criteria. Secondary outcomes included wound complications, post-operative pain, patient satisfaction, cosmetic appearance, time taken for closure, ease of use, and safety of the interventions. Results: The primary endpoint did not show any significant difference in the number of SSIs between the two groups. Both groups experienced wound complications, but the stapler group showed less severe outcomes. The stapler group demonstrated improved time efficiency and ease of closure, leading to reduced post-operative pain and higher patient satisfaction. Cosmetic outcomes were superior in the stapler group. Adverse events were reported in both groups, with a slightly higher incidence in the suture group. Conclusions: The Trupler skin stapler demonstrated advantages over Trulon polyamide sutures for wound closure. Despite similar SSI rates, the stapler group experienced improved time efficiency, lower post-operative pain, higher patient satisfaction, and superior cosmetic outcomes. The study supports the preference for Trupler skin stapler for wound closure in orthopaedic and open abdominal surgeries.
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