Topical anesthesia for staple removal from surgical wounds on the knee: a prospective, double-blind, randomized trial

Tseng, Tzu-Hao; Jiang, Ching-Chuan; Fu, Shau-Huai; Lee, Tsung-Lin; Chuang, Ya‐Hui; Chiang, Hsiao-Dong

doi:10.1016/j.jss.2017.03.055

Cited by 4 publications

(15 citation statements)

References 28 publications

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“…After eliminating duplicates, a total of 86 remained, of which 32 articles were selected based on the title and abstract analysis. From the full text analysis of these 32 studies, according to the established selection criteria, a total of 12 RCTs were finally selected [ 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ] ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the location of the wounds, one study analyzed the use of topical anesthetics in corneal injuries [ 20 ], one in the knee [ 19 ], two in the oral area, two in the perianal area [ 17 , 23 ], one in lower limbs exclusively [ 21 ], and four in wounds located on different parts of the body, such as the shoulder, ankle, knee, lower limbs, upper limbs, face, torso or hands [ 18 , 24 , 25 , 26 ]. The final study was on burns, without reference to their location but rather their extension only, which was between 1% and 5% of the total body surface [ 27 ] ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the type of intervention, four of the studies analyzed the efficacy of topical anesthetics in wound suturing [ 17 , 23 , 25 , 26 ], one in the removal of metallic sutures [ 19 ], and one in the control of pain caused by the wound itself [ 20 ]. Five studies analyzed the anesthetic effect during the development of cures [ 21 , 22 , 24 , 27 , 28 ], and one during vacuum withdrawal in lower limb ulcers [ 18 ] ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Topical Anesthetics in Pain Management for Dermal Injuries: A Systematic Review

Navarro-Rodriguez

Suárez-Serrano

Martín-Valero

et al. 2021

JCM

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The treatment of dermal injuries is associated with pain in both adult and pediatric populations. We reviewed traditional treatments for controlling the pain of these lesions, such as infiltrated local anesthetics and topical local anesthetics. The objective of this review was to elucidate the efficacy of topical anesthetics in reducing the pain of dermal injuries, as well as the efficacy of topical anesthetics versus other anesthetics, or versus a placebo. Methodology: a systematic review was carried out by searching Medline (PubMED), Scopus, Cinahl, Cochrane, Lilacs, and ENFISPO for randomized clinical trials on the control of pain in dermal lesions through the use of topical anesthetics, versus a placebo or versus another anesthetic. Results: twelve randomized clinical trials with a total of 952 patients were included. Seven studies analyzed the efficacy of topical anesthetics compared to a placebo, and six of them observed statistically significant differences in favor of the experimental group. Five studies analyzed the efficacy of topical anesthetics compared to other anesthetics or sedatives; three of them observed statistically significant differences in favor of the experimental group, and two found no difference between the anesthetics analyzed. Conclusion: topical anesthesia is a useful method for pain control, is safe compared to other traditional methods, and offers a satisfactory form of pain relief in relation to infiltration anesthesia and compared to placebo.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Topical Anesthetics in Pain Management for Dermal Injuries: A Systematic Review

Navarro-Rodriguez

Suárez-Serrano

Martín-Valero

et al. 2021

JCM

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“…It is worth noting that patients feel pain, tension, and fear after the removal of staples [21], as well as suffer from bleeding, infections, and scar formation [22,23]. Worse still, some patients require local anesthesia before removal [24]. On the contrary, the SCT is easy to be removed and patients feel less fear and pain compared to staples [9].…”

Section: Discussionmentioning

confidence: 99%

Skin Closure Tape and Surgical Staples in Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis

Luo

Zhang

Yan

et al. 2020

BioMed Research International

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Background. Staples closure technology has been widely used in total knee arthroplasty (TKA) and achieved good results. In recent years, a new type of material called skin closure tape (SCT) has been applied to TKA which also showed good treatment results. However, since it is still not clear yet which one is better, this paper collects literatures for statistical analysis so as to provide evidence for the use of SCT in TKA. Methods. The comparative study on effects between SCT and staples is reviewed after the primary release of TKA in PubMed, the Cochrane library, and the EMBASE database up to March 2019. The two researchers independently screened the literature and evaluated the quality of the literature using bias risk tools. Results. A total of four studies (3330 knees) have been included in our meta-analysis. For the main point, the results show that the SCT can reduce readmission rates compared to staples (RR 0.68, 95% CI 0.49–0.95, P=0.03), with no significant difference in complications (RR 0.85, 95% CI 0.27–2.64, P=0.77). Secondly, the results suggest that although there is no significant difference in removal time between the two groups, the SCT can reduce pains, save time and costs, and have a better cosmetic effect. Conclusions. Our study indicates SCT as a closure method with fewer complications and faster speed compared with staples. Nevertheless, the cost and pain need to be further confirmed because of the small sample size included in this study.

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“…However, negative effects were still reported, such as feeling pain and fear when staples were removed [ 6 , 7 ]. Tseng et al [ 8 ] even applied topical anesthesia for staple removal after TKA to relieve pain. Additionally, Singh et al [ 7 ] suggest that staples are associated with bleeding, infections, and additional scar formation after staple removal.…”

Section: Introductionmentioning

confidence: 99%

Comparison between Zip-Type Skin Closure Device and Staple for Total Knee Arthroplasty: A Meta-Analysis

Tian

et al. 2021

BioMed Research International

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Purpose. To compare the efficacy and safety of zip-type skin closure device (SCD) and staple in total knee arthroplasty (TKA). Methods. Potential academic articles were identified from PubMed, Springer, ScienceDirect, and Cochrane Library from the inception of electronic databases to July 2020. The statistical analyses were performed with RevMan 5.1. Results. One randomized controlled trial (RCT) and 5 non-RCTs met the inclusion criteria. Present meta-analysis reveals that SCD is associated with lower wound pain score, scar score, and readmission compared with a staple. No significant differences are identified in terms of wound total complications, dehiscence, blisters, and infection. Conclusions. Comparing with a staple, zip-type SCD is a less painful skin closure method with fewer medical cost undergoing TKA.

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Topical anesthesia for staple removal from surgical wounds on the knee: a prospective, double-blind, randomized trial

Cited by 4 publications

References 28 publications

Effectiveness of Topical Anesthetics in Pain Management for Dermal Injuries: A Systematic Review

Effectiveness of Topical Anesthetics in Pain Management for Dermal Injuries: A Systematic Review

Skin Closure Tape and Surgical Staples in Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis

Comparison between Zip-Type Skin Closure Device and Staple for Total Knee Arthroplasty: A Meta-Analysis

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