Publicado 4 números por año
ISSN Imprimir: 1050-6934
ISSN En Línea: 1940-4379
Indexed in
A Revolutionary Advance in Skin Closure Compared to Current Methods
SINOPSIS
Six pigs were used to evaluate the influence of three separate modalities on contaminated wounds. Full-thickness skin wounds on the abdomen were contaminated with 104 or 105 Staphylococcus aureus and then closed with one of three methods. The three closure modalities included (1) a new absorbable staple (Insorb™) placed in the subcuticular tissue, (2) a braided Vicryl™ suture, and (3) percutaneous metal staples. Any foreign body material implanted in tissue increases the risk of infection at that site. Wound closure always involves the use of a foreign body. Historically, sutures have been the primary material used to close tissue. The newer synthetic sutures are significangly more biodegradable and cause less infection than sutures composed of protein, such as silk and catgut. Metal staples are also associated with a low risk of infection. Recently, Incisive Surgical, Inc. (Plymouth, Minnesota) has developed an absorbable polymer staple specifically for subcuticular skin closure. The purpose of this study was to compare the new Insorb™ staple to both an absorbable polymer suture and a metal staple. Wound infection was assessed 7 days after closure by clinical signs and quantitative bacterial swabs. The results demonstrated that wounds closed with Insorb™ staples had the lowest incidence (33%) of infection, followed by percutaneous metal staples (44%). All wounds (100%) closed with Vicryl™ suture became infected. The incidence of wound infection directly correlated with the level of quantitative bacterial count at analysis. The Insorb™ staple was associated with significantly reduced closure time, less inflammation and infection, and better aesthetic result compared to Vicryl™. Compared to metal staples, the Insorb™ subcuticular staplers demonstrated comparable closure time without the need for later staple removal. In conclusion, the closure of contaminated wounds with the Insorb™ staples is a superior choice to Vicryl™ suture because they have a significantly (p = 0.009) lower incidence of infection. The Insorb™ staple is a revolutionary advance in subcuticular skin stapling.
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Cross Kevin J., Teo Esther H., Wong Shannon L., Lambe Jennifer S., Rohde Christine H., Grant Robert T., Ascherman Jeffrey A., The Absorbable Dermal Staple Device: A Faster, More Cost-Effective Method for Incisional Closure, Plastic and Reconstructive Surgery, 124, 1, 2009. Crossref
-
Tajirian Ani L., Goldberg David J., A review of sutures and other skin closure materials, Journal of Cosmetic and Laser Therapy, 12, 6, 2010. Crossref
-
Biedrzycki Adam, Markel Mark D., Brounts Sabrina H., Biomechanical Evaluation of a Novel Subcuticular Skin Stapling Device for Use in Equine Abdominal Surgeries, Veterinary Surgery, 44, 2, 2015. Crossref
-
Shermak Michele A., Mallalieu Jessie, Chang David, Barbed Suture Impact on Wound Closure in Body Contouring Surgery, Plastic and Reconstructive Surgery, 126, 5, 2010. Crossref
-
Raghavan Radhae, Arya Pallavi, Arya Prathibha, China Susnata, Abdominal incisions and sutures in obstetrics and gynaecology, The Obstetrician & Gynaecologist, 16, 1, 2014. Crossref
-
Nitsche Joshua, Howell Connor, Howell Thomas, Skin closure with subcuticular absorbable staples after cesarean section is associated with decreased analgesic use, Archives of Gynecology and Obstetrics, 285, 4, 2012. Crossref
-
Hochberg Julio, Meyer Kathleen M., Marion Michael D., Suture Choice and Other Methods of Skin Closure, Surgical Clinics of North America, 89, 3, 2009. Crossref
-
Bron Thierry, Zakine Gilbert, Placement of Absorbable Dermal Staples in Mammaplasty and Abdominoplasty: A 12-Month Prospective Study of 60 Patients, Aesthetic Surgery Journal, 36, 4, 2016. Crossref
-
Shao Kai, Han Baoqin, Gao Jinning, Jiang Zhiwen, Liu Weizhi, Liu Wanshun, Liang Ye, Fabrication and feasibility study of an absorbable diacetyl chitin surgical suture for wound healing, Journal of Biomedical Materials Research Part B: Applied Biomaterials, 104, 1, 2016. Crossref
-
Rouif Michel, Skin Closure with Absorbable Staples in Aesthetic Surgery, Plastic and Reconstructive Surgery, 128, 2, 2011. Crossref
-
Séchet E., Lefranc B., Guilé R., Duteille F., Sellal K.-O., Étude de coût d’un dispositif médical innovant : l’agrafeuse sous-cutanée à agrafes résorbables, Le Pharmacien Hospitalier, 45, 2, 2010. Crossref
-
Lloyd Jeremy D., Marque Melvin J., Kacprowicz Robert F., Closure Techniques, Emergency Medicine Clinics of North America, 25, 1, 2007. Crossref
-
Han Hyun Ho, Kim Seong Yeon, Lee Yoon Jae, Moon Suk Ho, Oh Deuk Young, Donor-site closure using absorbable dermal staple for deep inferior epigastric artery perforator flaps: its efficacy and cosmetic outcomes, SpringerPlus, 5, 1, 2016. Crossref
-
Schrufer-Poland Tabitha L., Ruiz Maria P., Kassar Samuel, Tomassian Christopher, Algren Stacey D., Yeast John D., Incidence of wound complications in cesarean deliveries following closure with absorbable subcuticular staples versus conventional skin closure techniques, European Journal of Obstetrics & Gynecology and Reproductive Biology, 206, 2016. Crossref
-
Biedrzycki A. H., Brounts S. H., Case series evaluating the use of absorbable staples compared with metallic staples in equine ventral midline incisions, Equine Veterinary Education, 28, 2, 2016. Crossref
-
Celeste Christophe, Selection of Suture Materials, Suture Patterns, and Drains for Wound Closure, in Equine Wound Management, 2016. Crossref
-
Duteille Franck, Rouif Michel, Alfandari Bruno, Andreoletti Jean-Baptiste, Sinna Raphael, Laurent Bruno, Perrot Pierre, Reduction of Skin Closure Time Without Loss of Healing Quality, Surgical Innovation, 20, 1, 2013. Crossref
-
Pillai Chennakkattu Krishna Sadasivan, Sharma Chandra P., Review Paper: Absorbable Polymeric Surgical Sutures: Chemistry, Production, Properties, Biodegradability, and Performance, Journal of Biomaterials Applications, 25, 4, 2010. Crossref
-
Ku Dohoe, Koo Do Hoon, Bae Dong Sik, A Prospective Randomized Control Study Comparing the Effects of Dermal Staples and Intradermal Sutures on Postoperative Scarring After Thyroidectomy, Journal of Surgical Research, 256, 2020. Crossref
-
Malard Olivier, Duteille Franck, Darnis Eric, Espitalier Florent, Perrot Pierre, Ferron Christophe, Planche Lucie, Hardouin Jean-Benoit, Tessier Philippe, Bellanger Martine, Dert Cécile, A Novel Absorbable Stapler Provides Patient-Reported Outcomes and Cost-Effectiveness Noninferior to Subcuticular Skin Closure: A Prospective, Single-Blind, Randomized Clinical Trial, Plastic & Reconstructive Surgery, 146, 6, 2020. Crossref
-
Hari Krishna Madhuri., Shiva Kumar H.R., Rai Kirthi Kumar, Hadhimane Amith, Priya T. Kavya, Evaluation of Outcome of the use of Bioresorbable Subcuticular Dermal Staples for Closure of Head and Neck Skin Incisions, Journal of Maxillofacial and Oral Surgery, 2021. Crossref
-
Yang Nan, Venezuela Jeffrey, Almathami Sharifah, Dargusch Matthew, Zinc-nutrient element based alloys for absorbable wound closure devices fabrication: Current status, challenges, and future prospects, Biomaterials, 280, 2022. Crossref
-
Nahm William J., Cohen David E., Milam Emily C., Contact Dermatitis in the Surgical Patient: A Focus on Wound Closure Materials, Dermatitis, Publish Ahead of, 2022. Crossref