SUBCUTANEOUS BARBED SUTURE AS AN ADJUNCT TO STAPLED CLOSURE REDUCES KNEE ARTHROPLASTY WOUND OOZE скачать в хорошем качестве

SUBCUTANEOUS BARBED SUTURE AS AN ADJUNCT TO STAPLED CLOSURE REDUCES KNEE ARTHROPLASTY WOUND OOZE

SUBCUTANEOUS BARBED SUTURE AS AN ADJUNCT TO STAPLED CLOSURE REDUCES PROLONGED WOUND OOZE IN TOTAL KNEE ARTHROPLASTY S. W. Canbilen, M. Khalefa, K. El Abed, R. Ahmad Weston General Hospital, Weston Super Mare, UK, BS23 4TQ Prolonged wound ooze ⋖ more than 72 hours⋗ has been associated with increased risk of surgical site infection and prolonged hospital admission. This study compares outcomes of wound adhesive and barbed suture as adjuncts to stapled wound closure in total knee arthroplasty ⋖TKA⋗. 69 patients undergoing TKA, 22 with stapled wound closure only ⋖mean age 70.5⋗, 21 with tissue adhesive adjunct ⋖mean age 72.2⋗ and 26 with barbed suture adjunct ⋖mean age 69.4⋗ were studied to compare number of dressing changes, prolonged wound ooze, length of hospital stay and delayed discharge ⋖more than 5 days⋗ and were followed up until hospital discharge. Median hospital stay for staples only group was 4 days ⋖IQR 3-5⋗, for adhesive group was 4 days ⋖IQR 3-6⋗ and for barbed suture group was 3 days ⋖IQR 3-4⋗⋖p=0.009⋗. Rates of prolonged wound ooze for staples only group was 8 ⋖36.4%⋗, for adhesive group was 4 ⋖19.0%⋗ and for barbed suture group was 0 ⋖0%⋗ ⋖p=0.004⋗. Use of subcutaneous barbed sutures was associated with reduced number of dressing changes, reduced risk of prolonged wound ooze, shorter hospital stay and savings of at least £233.60 per patient, compared to tissue adhesive or nothing as wound closure adjuncts in TKA.