Secondary outcome measures
No trials included analysis of patient QOL or body image. The most commonly reported secondary outcomes were closure time (5) and cost (5). Other reported outcomes included pain on removal and wound inflammation. Adverse events were reported in 56 patients; most commonly wound dehiscence and wound infection (50 patients). Oswal noted a significant reduction in wound complications in staples compared to sutures (p=0.044) but noted significantly lower pain on removal scores in sutures (p=<0.05). Six trials noted a significantly longer wound closure time between sutures vs adhesives or staples. The secondary outcome measures are demonstrated in table 4 .