Intervention Review

You have free access to this content

Subcutaneous closure versus no subcutaneous closure after non-caesarean surgical procedures

  1. Kurinchi Selvan Gurusamy1,*,
  2. Clare D Toon2,
  3. Brian R Davidson1

Editorial Group: Cochrane Wounds Group

Published Online: 21 JAN 2014

Assessed as up-to-date: 29 AUG 2013

DOI: 10.1002/14651858.CD010425.pub2


How to Cite

Gurusamy KS, Toon CD, Davidson BR. Subcutaneous closure versus no subcutaneous closure after non-caesarean surgical procedures. Cochrane Database of Systematic Reviews 2014, Issue 1. Art. No.: CD010425. DOI: 10.1002/14651858.CD010425.pub2.

Author Information

  1. 1

    Royal Free Campus, UCL Medical School, Department of Surgery, London, UK

  2. 2

    West Sussex County Council, Public Health, Chichester, West Sussex, UK

*Kurinchi Selvan Gurusamy, Department of Surgery, Royal Free Campus, UCL Medical School, Royal Free Hospital, Rowland Hill Street, London, NW3 2PF, UK. kurinchi2k@hotmail.com.

Publication History

  1. Publication Status: New
  2. Published Online: 21 JAN 2014

SEARCH

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Cardosi 2006 {published data only}
  • Cardosi RJ, Drake J, Holmes S, Tebes SJ, Hoffman MS, Fiorica JV, et al. Subcutaneous management of vertical incisions with 3 or more centimeters of subcutaneous fat. American Journal of Obstetrics and Gynecology 2006;195(2):607-14.
el Gamel 1994 {published data only}
  • el Gamel A, Dyde J, Perks J, Shaw R. Should we stitch the subcutaneous fat layer following saphenous vein excision for coronary revascularization?. European Journal of Cardio-Thoracic Surgery 1994;8(3):162-4.
Hussain 1990 {published data only}
Kong 1993 {published data only}
  • Kong K, Jeyagopal N, Davies SJ. Should we still stitch the subcutaneous fat layer? A clinical and ultrasound assessment in 50 hip operations. Annals of the Royal College of Surgeons of England 1993;75(1):23-5.
Kore 2000 {published data only}
  • Kore S, Vyavaharkar M, Akolekar R, Toke A, Ambiye V. Comparison of closure of subcutaneous tissue versus non-closure in relation to wound disruption after abdominal hysterectomy in obese patients. Journal of Postgraduate Medicine 2000;46(1):26-8.
Paral 2007 {published data only}
  • Paral J, Ferko A, Varga J, Antos F, Plodr M, Lochman P, et al. Comparison of sutured versus non-sutured subcutaneous fat tissue in abdominal surgery. A prospective randomized study. European Surgical Research 2007;39(6):350-8.
Tamelis 2005 {published data only}
  • Tamelis A, Vanagas T, Saladzinskas Z, Toker I, Pavalkis D. Do the fat stitch impacts on the superficial complications rate after midline incision?. Colorectal Disease 2005;7(Supplement S2):61.
Tiryakioglu 2010 {published data only}
  • Tiryakioglu O, Goncu T, Yumun G, Bozkurt O, Demir A, Tiryakioglu SK, et al. Unilayer closure of saphenous vein incision lines is better than bilayer closure. Open Cardiovascular Medicine Journal 2010;4:293-6.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Deliaert 2009 {published data only}
  • Deliaert AE, Van den Kerckhove E, Tuinder S, Fieuws S, Sawor JH, Meesters-Caberg MA, et al. The effect of triclosan-coated sutures in wound healing. A double blind randomised prospective pilot study. Journal of Plastic, Reconstructive & Aesthetic surgery 2009;62(6):771-3.
el Gamel 1994a {published data only}
  • el Gamel A, Dyde J, Perks J, Shaw R. Should we stitch the subcutaneous fat layer following saphenous vein excision for coronary revascularization?. European Journal of Cardio-Thoracic Surgery 1994;8(3):162-4.
Milewski 1980 {published data only}
Nouraei 2010 {published data only}
  • Nouraei SM, Masoumi S, Tahamtan R, Habibi MR, Alamolhoda SS. A comparison of single-layer versus multi-layer closure of the leg wound following long saphenous vein harvest for coronary artery bypass graft surgery: A prospective randomised controlled trial. Journal of Mazandaran University of Medical Sciences 2010;19(74):17-23.
Singer 2005 {published data only}
  • Singer AJ, Gulla J, Hein M, Marchini S, Chale S, Arora BP. Single-layer versus double-layer closure of facial lacerations: a randomized controlled trial. Plastic and Reconstructive Surgery 2005;116(2):363-8.
Stenvik 2006 {published data only}
  • Stenvik M, Tjomsland O, Lien S, Gunnes S, Kirkeby Garstad I, Astudillo R. Effect of subcutaneous suture line and surgical technique on wound infection after saphenectomy in coronary artery bypass grafting: a prospective randomised study. Scandinavian Cardiovascular Journal : SCJ 2006;40(4):234-7.
Teebken 2000 {published data only}
  • Teebken OE, Karck M, Harringer W, Haverich A. Harvesting the vena saphena magna for aortocoronary bypass operations--is the subcutaneous suture necessary? [German]. Swiss Surgery 2000;6(2):69-73.

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
ChiCTR-TRC-11001152 {published data only}
  • Xiao L, Zhang W, Bu X, Jiang P. Can subcutaneous suture improve wound healing of abdominal surgery?-a prospective randomised control study. http://www.chictr.org/en/proj/show.aspx?proj=253 13 August 2013.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Anderson 2004
  • Anderson ER, Gates S. Techniques and materials for closure of the abdominal wall in caesarean section. Cochrane Database of Systematic Reviews 2004, Issue 4. [DOI: 10.1002/14651858.CD004663]
Baier 2010
  • Baier PK, Gluck NC, Baumgartner U, Adam U, Fischer A, Hopt UT. Subcutaneous Redon drains do not reduce the incidence of surgical site infections after laparotomy. A randomized controlled trial on 200 patients. International Journal of Colorectal Disease 2010;25(5):639-43.
Cetin 1997
  • Cetin A, Cetin M. Superficial wound disruption after cesarean delivery: effect of the depth and closure of subcutaneous tissue. International Journal of Gynaecology and Obstetrics 1997;57(1):17-21.
Chelmow 2004
  • Chelmow D, Rodriguez EJ, Sabatini MM. Suture closure of subcutaneous fat and wound disruption after cesarean delivery: a meta-analysis. Obstetrics and Gynecology 2004;103(5 Pt 1):974-80.
Deeks 2011
  • Deeks JJ, Higgins JPT, Altman DG (editors), on behalf of the Cochrane Statistical Methods Group and the Cochrane Bias Methods Group. Chapter 9:  Analysing data and undertaking meta-analyses. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
DeMets 1987
DerSimonian 1986
Egger 1997
Garner 1986
Guo 2010
Gurusamy 2009
Herwaldt 2006
  • Herwaldt LA, Cullen JJ, Scholz D, French P, Zimmerman MB, Pfaller MA, et al. A prospective study of outcomes, healthcare resource utilization, and costs associated with postoperative nosocomial infections. Infection Control and Hospital Epidemiology 2006;27(12):1291-8.
Higgins 2002
Higgins 2011a
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Colloboration, 2011. Available from www.cochrane-handbook.org.
Higgins 2011b
  • Higgins JPT, Altman DG, Sterne JAC (editors) on behalf of the Cochrane Statistical Methods Group and the Cochrane Bias Methods Group. Chapter 8:  Assessing risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Higgins 2011c
  • Higgins JPT, Deeks JJ (editors). Chapter 7:  Selecting studies and collecting data. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Higgins 2011d
  • Higgins JPT, Deeks JJ, Altman DG (editors) on behalf of the Cochrane Statistical Methods Group and the Cochrane Bias Methods Group. Chapter 16:  Special topics in statistics. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Horan 1992
  • Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: A modification of CDC definitions of surgical wound infections. Infection Control and Hospital Epidemiology 1992;13(10):606-8.
Kjaergard 2001
Le 2007
  • Le TA, Dibley MJ, Vo VN, Archibald L, Jarvis WR, Sohn AH. Reduction in surgical site infections in neurosurgical patients associated with a bedside hand hygiene program in Vietnam. Infection Control and Hospital Epidemiology 2007;28(5):583-8.
Lefebvre 2011
  • Lefebvre C, Manheimer E, Glanville J, on behalf of the Cochrane Information Retrieval Methods Group. Chapter 6: Searching for studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Macaskill 2001
Mannien 2011
  • Mannien J, Wille JC, Kloek JJ, van Benthem BH. Surveillance and epidemiology of surgical site infections after cardiothoracic surgery in The Netherlands, 2002-2007. Journal of Thoracic and Cardiovascular Surgery 2011;141(4):899-904.
Moher 1998
  • Moher D, Pham B, Jones A, Cook DJ, Jadad AR, Moher M, et al. Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses?. Lancet 1998;352(9128):609-13.
Naumann 1995
  • Naumann RW, Hauth JC, Owen J, Hodgkins PM, Lincoln T. Subcutaneous tissue approximation in relation to wound disruption after cesarean delivery in obese women. Obstetrics and Gynecology 1995;85(3):412-6.
NCBI-MeSH-Cicatrix-Hypertrophic 1993
  • NCBI-MeSH. Cicatrix, Hypertrophic. http://www.ncbi.nlm.nih.gov/mesh/68017439 1993 (date accessed 28th August 2013).
NCBI-MeSH-keloid 2012
  • NCBI-MeSH. Keloid. http://www.ncbi.nlm.nih.gov/mesh/68007627 2012 (date accessed 28th August 2013).
NCBI-MeSH-Surgical-Wound-Dehiscence 1965
  • NCBI-MeSH. Surgical Wound Dehiscence. http://www.ncbi.nlm.nih.gov/mesh/68013529 1965 (date accessed 28th August 2013).
Newell 1992
Nygaard 1996
  • Nygaard IE, Squatrito RC. Abdominal incisions from creation to closure. Obstetrical and Gynecological Survey 1996;51(7):429-36.
Reilly 2006
  • Reilly J, Allardice G, Bruce J, Hill R, McCoubrey J. Procedure-specific surgical site infection rates and postdischarge surveillance in Scotland. Infection Control and Hospital Epidemiology 2006;27(12):1318-23.
RevMan 2011 [Computer program]
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). Version 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2011.
Schulz 1995
  • Schulz KF, Chalmers I, Hayes RJ, Altman DG. Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. JAMA 1995;273(5):408-12.
Schünemann 2011
  • Schünemann HJ, Oxman AD, Higgins JPT, Vist GE, Glasziou P, Guyatt GH (editors) on behalf of the Cochrane Applicability and Recommendations Methods Group and the Cochrane Statistical Methods Group. Chapter 11:  Presenting results and ‘Summary of findings’ tables. n: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
SIGN 2010
  • Scottish Intercollegiate Guidelines Network. Search filters. http://www.sign.ac.uk/methodology/filters.html (accessed 21 September 2011).
Weiser 2008
  • Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008;372(9633):139-44.
Wood 2008
  • Wood L, Egger M, Gluud LL, Schulz KF, Jüni P, Altman GD, et al. Empirical evidence of bias in treatment effect estimates in controlled trials with different interventions and outcomes: meta-epidemiological study. BMJ 2008;336(7644):601-5.
Woodfield 2009
  • Woodfield JC, Beshay N, van Rij AM. A meta-analysis of randomized, controlled trials assessing the prophylactic use of ceftriaxone. A study of wound, chest, and urinary infections. World Journal of Surgery 2009;33(12):2538-50.