Is adhesive paper-tape closure of video assisted thoracoscopic port-sites safe?

Luckraz, Heyman; Rammohan, Kandadai; Phillips, Mabel; O’Keefe, Peter

doi:10.1016/j.ejcts.2007.03.021

Cited by 4 publications

(27 citation statements)

References 3 publications

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“…Five studies evaluated pain post-incisional site closure. 27,29,32,34,35 used for pain evaluation; 2 studies used the Visual Analog Scale (VAS) score, 29,34 whereas a 10-point scale and a 4-point scale were used in 2 studies, 32,35 and 1 study, 27 respectively (Table 2). No study reported significant difference between the compared groups regarding pain perception on follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…After excluding old studies (published before 1990) and those enrolling pediatric patients, a total of 12 studies were included in this metaanalysis. [24][25][26][27][28][29][30][31][32][33][34][35]…”

Section: Selected Studiesmentioning

confidence: 99%

“…Adhesive strips, sutures, and tissue adhesive glue were used to close 559, 641, and 127 incisions, respectively. Six studies compared adhesive strips with sutures, 25,26,29,31,32,35 3 adhesive strips with sutures and tissue adhesive, 24,30,33 1 adhesive strips with sutures and staples, 28 1 adhesive strips with sutures and simple sterile dressing, 34 and 1 study compared adhesive strips with sutures with tissue adhesive. 27 The follow-up period ranged from 3 days to 12 months.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Out of the 12 studies, 9 did not report any funding or conflict of interest. 24,[28][29][30][31][32][33][34][35] None of the reviewed studies mentioned the degree of contamination of the surgical sites.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Five studies reported on adhesive strips versus other methods for closure of port sites in laparoscopic and arthroscopic operations. 24,29,30,32,34 Closure of incisions in limbs were reported in 3 studies. 26,28,33 Vascular harvest sites were examined in 2 studies, 27,35 whereas surgical incisional sites on thorax were reported in 3 studies, 25,26,35 and in the abdomen in 1 study.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Adhesive Strips for the Closure of Surgical Incisional Sites

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Section: Selected Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Adhesive Strips for the Closure of Surgical Incisional Sites

et al. 2011

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Applying Unsterile Microporous Tape onto Surgical Wounds: Tape Contamination and Clinical Rationale

Ausen

Kroknes

Gunnarson

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Fomites are surfaces that carry contaminants and may cause infection. We wanted to assess the bacterial load on rolls of nonsterile microporous tape in a hospital setting and explore the scientific rationale behind the existing practice of applying unsterile adhesives onto a surgical wound. Methods: We analyzed the aerobic bacterial contamination in rolls of microporous tape collected from surgical theaters, outpatient clinics, and storage rooms at St. Olav’s University Hospital, Trondheim, Norway between 2018 and 2020. We also reviewed the literature for relevant publications. Results: A total of 58 rolls were collected; 55 were included for final analysis. Exposed tape surfaces were significantly more contaminated than unexposed surfaces. Tape rolls from outpatient clinics were significantly more contaminated and contained a significantly greater variety of microbes than rolls from operation theaters and storage rooms. Unexposed surfaces from both operation theaters and storage rooms demonstrated very little contamination. Conclusions: Rolls of tape may act as fomites, but widespread use of adhesives is inevitable in hospital settings. Removing the outer layer of a tape roll before use may significantly reduce bacterial contamination. Given sufficient vigilance to avoid cross-contamination, inner layers of tape may represent a close-to-sterile alternative as surgical dressing. However, the economic savings constitute a negligible fraction of the total costs of the surgery, and the risk of contamination seems apparent. Scientific support of dressing a fresh surgical wound with unsterile microporous tape is lacking, and we therefore do not recommend the practice except in situations with very limited resources.

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Paper Tape May Improve Scar Aesthetics and Prevent Wound Closure Complications

Stratis,

Haider,

Oleru

et al. 2024

Plastic and Aesthetic Nursing

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There is uncertainty whether postoperative application of paper tape (PT) improves scar aesthetics and reduces wound closure complications. This study aimed to review and assess the quality of applicable findings from studies investigating PT's efficacy. We queried PubMed and SCOPUS using the search terms “((“paper tape”) AND (wound OR closure OR heal* OR complication OR skin OR prevent* OR scar*)).” We excluded articles that were duplicates, basic science, or not clinically relevant. We assessed the level of evidence for each article using the American Society of Plastic Surgeons (ASPS) Rating Levels of Evidence and Grading Recommendations for Therapeutic Studies, ranging from I (highest) to V (lowest). Of 186 publications reviewed, we included eight studies in the literature review. Five of these studies reported statistically significant positive outcomes on scar aesthetics and wound closure associated with using PT. Using the ASPS rating system, we found that two studies were Level I, three studies were Level II, two studies were Level IV, and one study was Level V. Notably, heterogeneity in the study designs limited outcome comparison. The data from the studies included in this literature review support using PT to optimize scar and wound management. The lack of higher levels of evidence, however, suggests the need for additional randomized controlled trials to rigorously evaluate patient outcomes when using PT compared with other forms of adhesive dressings.

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Is adhesive paper-tape closure of video assisted thoracoscopic port-sites safe?

Cited by 4 publications

References 3 publications

Adhesive Strips for the Closure of Surgical Incisional Sites

Adhesive Strips for the Closure of Surgical Incisional Sites

Applying Unsterile Microporous Tape onto Surgical Wounds: Tape Contamination and Clinical Rationale

Paper Tape May Improve Scar Aesthetics and Prevent Wound Closure Complications

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