Comparison of Different Suture Procedures for Closure of Skin Incision in Cardiac Pacemaker Implantation by One Operator
QI Shu-ying
LI Jie
DING Chao
LI Bin
WU Bian-wen
WANG Gang
WANG Yan-wei
WANG Dong-mei
Abstract：Objective To compare different suture procedures for the closure of the skin incision in performing cardi-ac pacemaker implantation by one operator. Methods During the period from January 2011 to October 2013, a total of 380 patients were admitted to our hospital to receive permanent cardiac pacemaker implantation and only one operator performed the operation. The patients were randomly divided into two groups ( continuous suture group and interrupted suture group) , each group included 190 patients. The suture time, postoperative hospitalization days, incidence of pocket hematoma and infection, as well as the healing condition of the incision were recorded and compared between the two groups. Results The suture time of continuous suture group was markedly shorter than that of interrupted suture group (P<0. 01). The incidence of pocket he-matoma in continuous suture group was similar to that in interrupted suture group, and the difference was not significant ( P>0. 05), and no significant difference in the postoperative hospitalization days existed between the two groups (P>0. 05). No pocket infection occurred in the two groups. During three months after the operation, suture line leakage was found in six pa-tients (3. 16%) in interrupted suture group while no patient in continuous suture group (P<0. 05). The skin incision was well healed in all patients of both groups. Conclusion Continuous suture has advantages of shorter suture time and lower su-ture line leakage rate, which can be the routine suture method for pacemaker implantation by one operator.
Keywords：Heart diseasesPacemakerartificialSkinSutureComparative effectiveness research
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 89-91 )