Comparison of Incision Closures With Subcuticular and Percutaneous Staples

Dresner, Harley S.; Hilger, Peter A.

doi:10.1001/archfacial.2009.44

Cited by 15 publications

(8 citation statements)

References 5 publications

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“…The use of absorbable material precludes the need to remove the staples, which in terms of metallic staple removal, can be both painful to the horse and dangerous to the veterinarian. There is also no reported discomfort associated with the presence of the SAS in human patients, even in areas with delicate skin coverage under tension (Dresner and Hilger ).…”

Section: Discussionmentioning

confidence: 99%

Case series evaluating the use of absorbable staples compared with metallic staples in equine ventral midline incisions

Biedrzycki

Brounts

2016

Equine Veterinary Education

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The objective was to evaluate the use of subcuticular absorbable staples (SAS) and compare them with metallic staples (MS) in abdominal skin closure for equine abdominal surgery in terms of surgical site infection (SSI) reduction. A prospective, randomised clinical trial was carried out on client owned horses presenting for abdominal surgery (n = 42 horses). During surgery, horses were randomly assigned to receive either SAS or MS. Preoperative criteria recorded included age, breed and sex of horse; surgical variables included lesion type, anaesthetic, surgical and stapling times; post operative variables included an anaesthetic recovery quality score and an incisional assessment score. Mean ± s.d. anaesthesia times for small intestinal surgeries between the MS and SAS (228 ± 58.8 min, 234 ± 38.7 min, respectively) and surgical times between MS and SAS (158 ± 58.8 min, 174 ± 26.5 min, respectively) were not significantly different from each other. There was no significant difference in closure times for the MS and SAS (61 ± 14.

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Section: Discussionmentioning

confidence: 99%

Case series evaluating the use of absorbable staples compared with metallic staples in equine ventral midline incisions

Biedrzycki

Brounts

2016

Equine Veterinary Education

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“…[113] INSORB has been extensively studied and was clinically proven to offer substantial benefits to patients of different procedures including obstetric, orthopedic, transplant, plastic, and colorectal surgery. [112] A number of studies observe benefits such as [114][115][116][117] : (i) lower incidence of infection and other complication, (ii) reduced operative time, (iii) less patient discomfort and decreased analgesic use, and (iv) excellent cosmetic result. Even veterinary medicine appears to benefit from the use of subcuticular absorbable staples (SAS).…”

Section: Zinc As Absorbable Staplementioning

confidence: 99%

“…Limb incisions were also difficult due to the inadequate amount of subcuticular space, which is needed for the slight eversion of the skin after staple attachment. Dresner and Hilger [115] similarly reported difficulty in the accurate placement of the staples in scalp surgery due to the relatively thin dermal layer in this region. They thus suggested that modifications may be necessary for the subcuticular stapler to address these difficulties during scalp surgeries.…”

Section: Zinc As Absorbable Staplementioning

confidence: 99%

The Prospects for Biodegradable Zinc in Wound Closure Applications

Venezuela

Johnston

Dargusch

2019

Adv Healthcare Materials

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Zinc is identified as a promising biodegradable metal along with magnesium and iron. In the last five years, considerable progress has been made on understanding the mechanical properties, biodegradability, and biocompatibility of zinc and its alloys. A majority of these studies focused on using zinc for absorbable cardiovascular and orthopedic device applications. However, it is likely that zinc is also suitable for other biomedical applications.In this work, the prospects for zinc in the fabrication of wound closure devices such as absorbable sutures, staples, and surgical tacks are critically assessed, with the aim of inspiring future research on biodegradable Zn for this medical application.

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“…Skin staples are also fast and easy to apply, but removal can be painful and are also more expensive than sutures. [1][2][3] In this contest authors thought of interrupted absorbable subcuticular sutures where authors can tackle the above mentioned limitations; while actually reducing the financial burden of the patients since the same sutures used for subcutaneous sutures can be used for subcuticular sutures also. Aims and objectives of the study were to compare the interrupted absorbable subcuticular sutures and conventional wound closure techniques in surgeries for benign breast diseases.…”

Section: Introductionmentioning

confidence: 99%

Absorbable versus conventional methods for wound closures in surgeries for benign breast diseases: a randomized case control study

Gopinathan

Ulahannan

2020

Int Surg J

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Background: Surgeons and patients prefer absorbable sutures for surgical wound closure in breast surgeries which are usually continuous subcuticular sutures so that patients can skip a hospital visit for suture removal. But in case of breast biopsies authors usually put circumareolar incisions. Here authors find it difficult to put continuous subcuticular sutures. In this contest authors thought of interrupted subcuticular sutures where authors can tackle the above-mentioned limitations; while actually reducing the financial burden of the patients.Methods: In this randomized case controlled study authors included elective general surgical procedures for benign breast diseases that was being carried out in the department of General Surgery Govt. Medical College, Kottayam for a period of 6 months starting from January 2017. Total number of cases taken are 20; 10 each in each group.Results: The mean rank for interrupted method was 14.20 and conventional method was 6.80. Mann-Whitney U statistic was 13.000 and p value was 0.03. Since p value was less than 0.05, authors had clear evidence to reject the null hypothesis. Therefore, authors concluded that both the methods were dissimilar and based on mean rank interrupted method seemed to be better method.Conclusions: Authors recommended interrupted absorbable subcuticular suturing technique in general surgical procedures for benign breast diseases, especially where authors used circumareolar incisions, which saved time of the surgeon and the patient. This can lead to considerable cost savings for the government without compromising clinical effectiveness or safety.

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Comparison of Incision Closures With Subcuticular and Percutaneous Staples

Abstract: Subcuticular staples represent a safe, comfortable, and potentially more rapid alternative to percutaneous staples. Modifications of the subcuticular stapler device are required before its full potential can be realized.

Cited by 15 publications

References 5 publications

Case series evaluating the use of absorbable staples compared with metallic staples in equine ventral midline incisions

Case series evaluating the use of absorbable staples compared with metallic staples in equine ventral midline incisions

The Prospects for Biodegradable Zinc in Wound Closure Applications

Absorbable versus conventional methods for wound closures in surgeries for benign breast diseases: a randomized case control study

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