Evidence map›Paper›PMID 32728370›Full record

ArticleKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2020

Stapler versus polyamide sutures for skin closure for sternal wounds in coronary artery bypass graft surgery - our experience.

Manish Jadhao, Chaitanya Raut, Noaman Shaikh, Kuntal Surana, Prashant Mishra, Jayant Khandekar

Abstract read
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Article in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Manish JadhaoLokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
Chaitanya RautLokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
Noaman ShaikhLokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
Kuntal SuranaLokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
Prashant MishraLokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
Jayant KhandekarLokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients undergoing coronary artery bypass graft surgery constitute a large population of patients with anatomically similar incisions created under similar circumstances.

aimOur study aimed at analysing and comparing rates of surgical site infections (SSIs) at the sternotomy sites based on the material used for skin closure of the sternal wound with special emphasis on presence of risk factors such as diabetes (glycated haemoglobin (HbA MATERIAL AND

methodsThis is a retrospective observational study. A total of 864 patients were included in the study. The patients were grouped into 2 groups depending on the sternal wound closure strategy used. One group consisted of patients in whom polyamide sutures were used for skin closure, while the other group comprised patients in whom skin staples were used for skin closure. Incidence of sternal wound SSIs in both groups was noted. Co-morbid conditions such as diabetes mellitus (with HbA1c > 9) and obesity (BMI > 30 kg/m2) were noted and analysed as contributory factors for SSIs.

resultsGroup A comprised 432 patients out of whom 42 (9.72%) had sternal wound SSIs. Group B comprised the other 432 patients of whom only 20 (4.62%) developed sternal wound SSIs. Co-morbid conditions were analysed in each group. Group A showed SSI in 22/64 (34.3%) diabetic patients, 6/28 (21.8%) obese patients and 16/22 (72.72%) with diabetes and obesity. Group B showed SSIs in 6/56 (10.715) diabetics, 4/26 (6.01%) obese and 4/24 (16.67%) with diabetes and obesity.

conclusionsBy pairing staples and sutures, we observed a significantly lower incidence of total wound complications with suture than with staple closure.

Indexed as

coronary artery bypass surgerypolyamidestaplerssurgical site infection

Identifiers

PMID32728370
PMCPMC7379225

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