Staples versus sutures for closing leg wounds after vein graft harvesting for coronary artery bypass surgery.

Biancari, Fausto; Tiozzo, Valentina

doi:10.1002/14651858.cd008057.pub2

Cited by 32 publications

(11 citation statements)

References 15 publications

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“…The quasi-static test was conducted by applying 8% uniaxial tensile strain perpendicular to the wound with a loading rate of 0.1 mm/s. This level of strain is consistent with typical dehiscence found in human skin. , The dynamic test followed the quasi-static test by releasing the SEC-skin specimen to the prestretched position and subjecting it to a 10-cycle harmonic excitation of 0.1 Hz frequency and a strain amplitude level of 8%. The first four cycles of measurements were discarded to account for the Mullins’ effect that causes the first few cycles to exhibit higher levels of strain due to the softening behavior in filled rubbers. , Displacement and axial force data were recorded using the TestBuilder DAQ with a 206 Hz sampling frequency, and SEC capacitance data were sampled at 10 samples/second using an LCR meter (Agilent 4263B) driven in LabVIEW.…”

Section: Methodssupporting

confidence: 76%

Soft Elastomeric Capacitor for Strain and Stress Monitoring on Sutured Skin Tissues

et al. 2021

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Sutures are ubiquitous medical devices for wound closures in human and veterinary medicine, and suture techniques are frequently evaluated by comparing tensile strengths in ex vivo studies. Direct and nondestructive measurement of tensile force present in sutured biological skin tissue is a key challenge in biomechanical fields because of the unique and complex properties of each sutured skin specimen and the lack of compliant sensors capable of monitoring large levels of strain. The authors have recently proposed a soft elastomeric capacitor (SEC) sensor that consists of a highly compliant and scalable strain gauge capable of transducing geometric variations into a measurable change in capacitance. In this study, corrugated SECs are used to experimentally characterize the inherent biomechanical properties of canine skin specimens. In particular, an SEC corrugated with a re-entrant hexagonal honeycomb pattern is studied to monitor strain and stresses for three specific suture patterns: simple interrupted, cruciate, and intradermal patterns. Stress is estimated using constitutive models based on the Fractional Zener and the Kelvin-Voigt models, parametrized using a particle swarm algorithm from experimental data and results from a validated finite element model. Results are benchmarked against findings from the literature and show that SECs are valuable for clinical evaluation of tensile force in biological skins. It was found that both the ranking of suture pattern performance and the sutured skin's Young's modulus using the proposed approach agreed with data reported in the literature and that the estimated stress at the suture level closely matched that of an approximate finite element model.

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Section: Methodssupporting

confidence: 76%

Soft Elastomeric Capacitor for Strain and Stress Monitoring on Sutured Skin Tissues

et al. 2021

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“…However, based on an updated meta-analysis, no definite differences in SSI risk were found between staples and sutures [23]. Data from a Cochrane review has also provided similar results in coronary artery bypass surgery [24].…”

Section: Discussionmentioning

confidence: 99%

Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials

2021

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Background Surgical site infections (SSIs) are common postoperative complications. Whether the use of staples or sutures makes a difference in abdominal surgery’s infection rate remains elusive. Methods A systematic review was performed to identify randomized clinical trials comparing staples and sutures after abdominal surgeries. Eligibility criteria involved the SSI occurrence as the primary outcome and the incidence of wound dehiscence, closure time, cosmesis, and patient satisfaction as the secondary outcomes. Results Of the 278 studies identified, seven randomized controlled trials representing 3705 patients were included in this review. There was no significant difference in SSI rates between sutures and staples in general (OR = 0.98, 95% CI = 0.79–1.22, I2 = 44%, P = 0.1) or in a subgroup of gastrointestinal surgery, where subcuticular suturing was found with a comparable SSI risk with skin stapling (OR = 0.85, 95% CI = 0.66–1.09). Staple closure was associated with a shorter surgery duration, whereas sutures appeared to provide better cosmesis and patient satisfaction. Sutures and staples achieved a comparable incidence of dehiscence. There was no significant between-study publication bias. Conclusion Our study demonstrated similar outcomes in SSI rate between subcuticular sutures and staples for skin closure in patients undergoing abdominal surgery.

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“…Two systematic Cochrane reviews failed to find a significant difference between skin closure with staples or subcutaneous sutures although, with respect to closure following vein harvest for coronary artery bypass surgery, staples conferred an increased risk (relative risk 1.20 95% CI 0.60e2.39) of post-operative infection. 18,19 Most literature regarding skin closure of surgical wounds is from the orthopaedic field. A recent meta-analysis incorporating a number of different orthopaedic procedures found a four times higher rate of post-operative infection with the use of skin clips, and this has contributed to guidance in Australia that incisions for hip surgery in older patients be closed with subcutaneous absorbable sutures.…”

Section: Discussionmentioning

confidence: 99%

Surgical Factors in the Prevention of Infection Following Major Lower Limb Amputation

Coulston

Tuff

Twine

et al. 2012

European Journal of Vascular and Endovascular Surgery

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Staples versus sutures for closing leg wounds after vein graft harvesting for coronary artery bypass surgery.

Cited by 32 publications

References 15 publications

Soft Elastomeric Capacitor for Strain and Stress Monitoring on Sutured Skin Tissues

Soft Elastomeric Capacitor for Strain and Stress Monitoring on Sutured Skin Tissues

Subcuticular sutures versus staples for skin closure in patients undergoing abdominal surgery: A meta-analysis of randomized controlled trials

Surgical Factors in the Prevention of Infection Following Major Lower Limb Amputation

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