Comparison of Skin Staples and Standard Sutures for Closing Incisions After Head and Neck Cancer Surgery: A Double-Blind, Randomized and Prospective Study

Abstract

It was concluded that skin staples are better alternatives to conventional sutures in head and neck cancer surgery as they offer ten times faster wound closure, cost effectiveness, and similar results to sutures in terms of patient comfort, aesthetic outcome and complication rate.

Staples Versus Sutures for Skin Closure in Standard Four Port Laparoscopic Cholecystectomy: A Prospective Cohort Study

“…One of the authors had suggested local application of eutectic mixture of lidocaine and prilocaine (EMLA) cream one hour prior to the removal of skin staples [ 17 ]. However, in the present study, there is no difference in pain perceived in both the groups after POD 1 and at the time of removal in accord with the findings of some studies [ 18 - 20 ].…”

Fixation of split-thickness skin graft using fast-clotting fibrin glue containing undiluted high-concentration thrombin or sutures: a comparison study

“…Because fibrin sealant biodegrades within 2 weeks, foreign bodies, such as sutures and staples, are not left in the wound, especially in the granulation bed. In addition, patients often report severe pain when staples are removed, and occasionally, an anesthetic procedure is required (O’Grady et al 2000; Batra et al 2016; Himel et al 1994; Best et al 1995; Ghosh et al 2015). Because fibrin sealant adheres to the entire surface, hematoma/seroma formation is significantly reduced compared with point-fixation sutures or staples (Cha et al 2012; Gibran et al 2007; Llanos et al 2006; Myer et al 2015; Mabrouk et al 2013).…”

Scalp Wound Closures in Mohs Micrographic Surgery: A Survey of Staples vs Sutures

“…1 Interestingly, the most common reasons given for not using staples included patient discomfort, cost, and worse cosmetic outcomes, which are unsubstantiated with head and neck comparative studies. [2][3][4] Although cost was the least important variable for determining closure type in our surveyed cohort, it is likely that the overall cost of closure is frequently underestimated. A higher material cost is noted with staples; however, the largest determinant of overall cost remains the surgeon's time, which is reduced by factors of 10 or more when closing with staples.…”

“…A higher material cost is noted with staples; however, the largest determinant of overall cost remains the surgeon's time, which is reduced by factors of 10 or more when closing with staples. 2,3 This difference-coupled with the unchanged cosmetic outcome and complication rates-makes staples more advantageous for high-tension scalp wounds. 4 Moreover, the stapling technique is more reproducible than suturing, which requires more surgical skill and experience.…”