JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v7i5.5264ArticleThe Advantages and Disadvantages of Skin Staple Suture Compared with Traditional Suture in Brain Surgery in Primary Hospital: A Randomized Controlled Studyhttps://artdesignp.com/journal/JCNR/7/5/10.26689/jcnr.v7i5.5264RenWanyin,ZhaoXiaofen,YangXuming,ZhangHaoran,XieJian,QianYao2023752023-09-22Objective: This paper aims to compare the effect of skin staple suture and traditional silk suture in scalp suture surgery. Methods: A total of 80 craniocerebral surgery patients were included in this study, and the patients were randomly divided into observation group and control group, with 40 cases in each group. The observation group used disposable skin stapler to suture the scalp incision, and the control group used conventional silk suture to suture the incision. Statistical analysis was carried out on 6 indicators including suturing speed, healing under-scab, incision necrosis, incision cerebrospinal fluid (CSF) leakage, incision infection, and postoperative “centipede-shaped” scar incidence rate of the two suture methods. Results: There was no significant difference between the groups in terms of postoperative healing underscab, incision necrosis, incision CSF leakage, and intracranial infection (P > 0.05). The suturing speed in the observation group was 15.2 ± 0.7 cm/min, which was significantly faster than 7.4 ± 0.3 cm/min in the control group (P < 0.05). The incidence of “centipede-shaped” scars in the observation group was significantly lower than that in the control group at 1 to 6 months after operation (P < 0.05). Conclusion: Compared with traditional silk suture, skin staple suture has obvious advantages in suture speed and cosmetic effect.

Jadhao M, Raut C, Shaikh N, et al., 2020, Stapler Versus Polyamide Sutures for Skin Closure for Sternal Wounds in Coronary Artery Bypass Graft Surgery – Our Experience. Kardiochir Torakochir Pol, 17(2): 83–86.

Kajioka H, Muraoka A, 2021, Successful Intragastric Suture Repair Using Endoscopy for Refractory Ischemic Stomach Perforation: A Case Report. Ann Med Surg (Lond), 8(64): 102212.

Thakkar M, Bednarz B, Henderson J., 2021, Braided Absorbable Sutures for Traumatic Wounds. JPRAS Open, 20(28): 64–65.

Cooper SM, Blanchard CT, Szychowski JM, et al., 2019, Does Time of Wound Complication after Cesarean Delivery Differ by Type of Skin Closure?. Am J Perinatol, 36(9): 981–984.

Prabhakar G, Bullock TS, Martin CW, et al., 2021, Skin Closure with Surgical Staples in Ankle Fractures: a Safe and Reliable Method. Int Orthop, 45(1): 275–280.

Lehtonen E, Patel H, Phillips S, et al., 2018, Staple Versus Suture Closure for Ankle Fracture Fixation: Retrospective Chart Review for Safety and Outcomes. Foot (Edinb), 2018(37): 71–76.

Rodel RL, Gray KM, Quiner TE, et al., 2021, Cesarean Wound Closure in Body Mass Index 40 or Greater Comparing Suture to Staples: a Randomized Clinical Trial. Am J Obstet Gynecol MFM, 3(1): 100271.

Livesey C, Wylde V, Descamps S, et al., 2009, Skin Closure after Total Hip Replacement: a Randomised Controlled Trial of Skin Adhesive Versus Surgical Staples. J Bone Joint Surg Br, 91(6): 725–729.

Kim M, Park B, Hong S, et al., 2016, Abstract: Effect of Absorbable Skin Stapler in Autologous Breast Reconstruction Patients: Approach Through Economic and Cosmesis, 4(9 Suppl): 203–203.

Chughtai T, Chen LQ, Salasidis G, et al., 2000, Clips Versus Suture Technique: is There a Difference. Can J Cardiol, 16(11): 1403–1407.

Singh-Ranger D, 2003, A Sampler Technique for the Retention of a Subcuticular Suture. Surgeon, 1(3): 149–151.

Fan Y, Wei Z, Wang W, et al., 2014, The Incidence and Distribution of Surgical Sit Infection in Main-Land China: a Meta-Analysis of 84 Prospective Observational Studies. Sci Rep, 2014(4): 678.

Cheng K, Li J, Kong Q, et al., 2015, Risk Faction for Surgical Site Infection in a Teaching Hospital: a Prospective Study of 1,138 Patients. Patient Prefer Adherence, 2015(9): 1171–1177.

Allergranzi B, Nejad SB, Combescure C, et al., 2011, Burden of Endemic Healthcare-Associated Infection in Developing Countries: Systematic Review and Meta-Analysis. Lancet, 377(9761): 228–241.

Wang N, Qu X, Zhou J, 2021, Chinese Expert Consensus on Diagnosis and Treatment of Central Nervous System Infection in Neurosurgery (2012 edition). Chinese Journal of Neurosurgery, 37(1): 2–15.

Ortiz OHH, García HIG, Ramírez FM, et al., 2018, Development of a Prediction Rule for Diagnosing Postoperative Meningitis: a Cross-Sectional Study. J Neurosurg, 128(1): 262–271.

Pan S, Huang X, Wang Y, et al., 2018, Efficacy of intravenous Plus Intrathecal/Intracerebral Ventricle Injection of PolyMyxin B for Post-Neurosurgical Intracranial Infections Due to MDR/XDR Acinectobacter baumannii: A Retrospective Cohort Study. Antimicrob Resist Infect Control, 2018(7): 8.

Fan K, 2017, Analysis of Risk Factors for Nervous System Infection after Neurosurgery Craniotomy. Chinese Journal of Practical Nervous Diseases, 20(7): 40–42.

Yu X, Zhang Y, Lin L, 2017, Analysis of Risk Factors for Intracranial Infection After Neurosurgery. Chinese Journal of Practical Nervous Diseases, 20(11): 27–29.

Fang C, Zhu T, Zhang P, et al., 2017, Risk Factors of Neurosurgical Site Infection After Craniotomy: A Systematic Review and Meta-Analysis. Am J Infect Control, 45(11): e123–e134.

Schipmann S, Akalin E, Doods J, et al., 2016, When the Infection Hits the Wound: Matched Case-Control Study in a Neurosurgical Patient Collective Including Systematic Literature Review and Risk Factor Analysis. World Neurosurg, 2016(95): 178–189.

Lu P, Raynald, Liu W, et al., 2019, Risk Factors of External Ventricular Drainage-Related Infections: A Retrospective Study of 147 Pediatric Post-Tumor Resection Patients in a Single Center. Front Neurol, 2019(10): 1243.