Multiple segmented Purse-string suturing vs Interrupted simple suturing of subcutaneous layer in mastectomy wounds: A Randomized Controlled Trial

After obtaining approval from the IEC, informed consent will be obtained from the participants posted for mastectomy. Patient will be randomly choosing one of the six surgical units and undergo the standard of care suturing technique of that particular unit. Three surgical units form Cluster ISS - interrupted simple subcutaneous suturing and another 3 surgical units form Cluster PSS  - Segmented purse string suturing. After mastectomy is completed and just before the closure, the dimensions of the wound are assessed and is closed using segmented purse string technique or  interrupted simple subcutaneous suturing based on the cluster group. The wound dimensions after closure is then measured. Patients of both clusters are reassessed for wound infection on the day of first post operative wound examination and any subsequent follow-up days up to 30+10 days or commencement of adjuvant therapy, to look for any infection, flap necrosis or delay in wound healing. The results of the two groups will be compared to establish non inferiority.