Comparison of 2 Methods of Incision Closure in Patients With Adolescent Idiopathic Scoliosis Undergoing Posterior Spinal Fusion Surgery

Xu, Leilei; Zhu, Feng; Zhu, Zezhang; Liu, Zhen; Sun, Xu; Qiao, Jie; Mao, Saihu; Qiu, Yong

doi:10.1097/brs.0000000000000223

Cited by 9 publications

(18 citation statements)

References 17 publications

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“…Baseline characteristics were similar in the three trials [1, 11, 12]. All four RCTs revealed the eligibility criteria for patients enrolled in.…”

Section: Resultsmentioning

confidence: 95%

“…The curve magnitude of the incisions was reported in only one trial [12] which made incisions with substantial curvature beyond 45 degrees.…”

Section: Resultsmentioning

confidence: 99%

“…In the four studies, only two studies [10, 11] specified the randomization method of block randomization and two trials [10, 12] applied adequate allocation concealment by using Envelopes. Baseline characteristics were similar in the three trials [1, 11, 12].…”

Section: Resultsmentioning

confidence: 99%

“…The results indicated that, compared with IS, SZT showed similar incidence of SWI (pooled RR 0.77, 95% CI, 0.46 to 1.29, p = 0.32) (Fig 3) and blister (pooled RR 1.85, 95% CI, 0.07 to 47.93, p = 0.71) (Fig 4). There was also no significant difference in the incidence of deep wound infection (DWI) [1, 10], dehiscence of the wound [1, 12] and wound separation [1]. …”

Section: Resultsmentioning

confidence: 99%

“…It is a combination of microporous polyester and a zipper that is coated with acrylate adhesive, which could provide uniform force on the wound edge to facilitate a natural healing process of the incision [7–9]. In the process of incision closure, the underlying fascia is closed in a standard manner using absorbable suture material to close the subcutaneous tissue for the reduction of skin tension and then the skin wound is closed using the surgical zipper [1,10–12]. The zipper can be used for straight or slightly curved incisions [8].…”

Section: Introductionmentioning

confidence: 99%

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Systematic Review and Meta-Analysis of Surgical Zipper Technique versus Intracutaneous Sutures for the Closing of Surgical Incision

et al. 2016

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BackgroundIt is controversial whether surgical zipper technique (SZT), a non-invasive method of surgical wound closure, achieves a better outcome of incision healing than intracutaneous sutures (IS) in the surgery. This meta-analysis was performed to systematically analyze whether surgical zipper is superior to suture material for the incision closure.MethodsDatabases and reference lists were searched for randomized controlled trials (RCTs) comparing SZT with IS for the incision closure.ResultsFour RCTs with 678 patients were identified and analyzed. Compared with IS, SZT achieved similar incidence of postoperative complications, less time for incision closure, less cost of both surgeons’ time and operating room time, no need for removing sutures and more comfort for the patients. Besides, SZT achieved perfect aesthetic results in various types of incisions with the exception of those with substantial curvatures, those with secretions, in obese patients or those under high tension.ConclusionThe non-invasive zipper technique may be a more attractive option of incision closure in a wide spectrum of surgical areas.

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“…Baseline characteristics were similar in the three trials [1, 11, 12]. All four RCTs revealed the eligibility criteria for patients enrolled in.…”

Section: Resultsmentioning

confidence: 95%

“…The curve magnitude of the incisions was reported in only one trial [12] which made incisions with substantial curvature beyond 45 degrees.…”

Section: Resultsmentioning

confidence: 99%