The rationale for conducting a randomized controlled study comparing three types of skin closure

techniques in laparoscopic surgery stems from the necessity to optimize postoperative outcomes and

address patient concerns regarding recovery and cosmesis. Despite the advantages of laparoscopic

methods, such as reduced pain and quicker recovery times, the issue of incisional hernias and

unsatisfactory scar appearances remains a significant concern. These complications can lead to

extended recovery periods, additional surgeries, and dissatisfaction with the cosmetic outcomes, all of

which can affect the patient’s quality of life and increase healthcare costs. Current closure techniques

include traditional suturing, the use of adhesives, and metal staples, each with its own set of

advantages and potential drawbacks. For instance, sutures are versatile and widely used but can be

time-consuming and may cause more noticeable scarring. Adhesives provide a quick and less invasive

method that reduces scarring but might not offer the same level of strength and durability, particularly

in high-tension areas. Staples are fast and consistent but can be painful upon removal and may lead to

more prominent scars. This study aims to directly compare these three methods in a controlled setting

to provide empirical data on their efficacy, focusing on specific outcomes such as healing time,

incidence of herniation, pain levels, and cosmetic satisfaction.