A systematic review of systematic reviews and panoramic meta-analysis: staples versus sutures for surgical procedures.

ABSTRACT:

Objective

To systematically evaluate the evidence across surgical specialties as to whether staples or sutures better improve patient and provider level outcomes.

Design

A systematic review of systematic reviews and panoramic meta-analysis of pooled estimates.

Results

Eleven systematic reviews, including 13,661 observations, met the inclusion criteria. In orthopaedic surgery sutures were found to be preferable, and for appendicial stump sutures were protective against both surgical site infection and post surgical complications. However, staples were protective against leak in ilecolic anastomosis. For all other surgery types the evidence was inconclusive with wider confidence intervals including the possibly of preferential outcomes for surgical site infection or pos

SUBMITTER: Hemming K 

PROVIDER: S-EPMC3792070 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature