Abstract

Through a comprehensive analysis of the advantages and disadvantages associated with the "No Knot" technique and the conventional subcuticular suture technique, surgeons will acquire enhanced knowledge to make well-informed choices pertaining to wound closure approaches. Consequently, this knowledge has the potential to enhance patient outcomes and satisfaction. Aim: The aim of study was to explore & compare the cosmetic outcomes in “no knot” vs standard subcuticular suture technique in clean elective surgical incisions. Methods: This study was carried out between September 2022 and July 2024 at Department of General Surgery, Aarupadai Veedu Medical College & Hospital, Puducherry. A total of 264 study subjects were chosen based on certain inclusion and exclusion criteria. These subjects were then separated into two groups, with 132 from each group. There are two groups: Group A, which uses the "No Knot" subcuticular technique, and Group B, which uses the traditional Knot subcuticular approach. Results: Mean Visual Analogue Scale (VAS) score was comparatively more in the No Knot group [72.9 (±9.8) in ‘No-Knot Group’ Vs 66.9 (±11.9) in ‘Knot Group’]. Mean Hollander Wound Evaluation Score was comparatively more in the No Knot group [4.76 (±0.75) in ‘No-Knot Group’ Vs 4.15 (±1.24) in ‘Knot Group’]. Conclusions: No Knot group provided a better cosmesis than the other group. Therefore, based on the results of this study, it can be inferred that the "NO KNOT" subcuticular technique is more effective than the standard subcuticular technique in terms of cosmetic outcome in patients who undergo clean elective surgeries

Description