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Subcuticular absorbable staple

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https://www.readbyqxmd.com/read/27632411/incidence-of-wound-complications-in-cesarean-deliveries-following-closure-with-absorbable-subcuticular-staples-versus-conventional-skin-closure-techniques
#1
Tabitha L Schrufer-Poland, Maria P Ruiz, Samuel Kassar, Christopher Tomassian, Stacey D Algren, John D Yeast
OBJECTIVE: To determine if there is a significant difference in composite wound complications among traditional closure techniques versus absorbable subcuticular staple closure. STUDY DESIGN: This study is a retrospective cohort study of cesarean sections performed from January through September of 2014. Composite wound complications included surgical site infection, separation, and fluid collection. Medical records were reviewed and data including the patient demographics, comorbidities, closure type and wound complications were recorded...
August 3, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/26530478/placement-of-absorbable-dermal-staples-in-mammaplasty-and-abdominoplasty-a-12-month-prospective-study-of-60-patients
#2
Thierry Bron, Gilbert Zakine
BACKGROUND: The duration to close an incision is an important consideration in plastic surgery. The placement of Insorb absorbable subcuticular staples (Insorb, Incisive Surgical, Plymouth, MN) may allow for a decreased closure time compared with other modalities. OBJECTIVES: The authors evaluated the utility of Insorb staples for the closure of mammaplasty and abdominoplasty incisions. METHODS: Sixty patients who underwent anterior abdominal dermatolipectomy, total circular abdominal dermatolipectomy, bilateral breast reduction, or bilateral mastopexy were evaluated in a prospective study...
April 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/25530592/suture-versus-staples-for-skin-closure-after-cesarean-a-metaanalysis
#3
COMPARATIVE STUDY
Awathif Dhanya Mackeen, Meike Schuster, Vincenzo Berghella
OBJECTIVE: We sought to perform a metaanalysis to synthesize randomized clinical trials of cesarean skin closure by subcuticular absorbable suture vs metal staples for the outcomes of wound complications, pain perception, patient satisfaction, cosmesis, and operating time. STUDY DESIGN: A systematic search was performed using MEDLINE, Cochrane Databases, and ClinicalTrials.gov registries. We included randomized trials comparing absorbable suture vs metal staples for cesarean skin closure...
May 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25077672/biomechanical-evaluation-of-a-novel-subcuticular-skin-stapling-device-for-use-in-equine-abdominal-surgeries
#4
Adam Biedrzycki, Mark D Markel, Sabrina H Brounts
OBJECTIVE: To compare the in vitro biomechanical properties of a novel subcuticular stapling device to current methods of abdominal skin closure for equine abdominal surgery. STUDY DESIGN: In vitro randomized, matched design. SAMPLE POPULATION: Equine ventral median abdominal skin specimens (n = 24 horses). METHODS: Subcuticular absorbable staples (SAS), metallic staples (MS), polyglyconate suture (PG), and nylon monofilament (NYL) were applied to longitudinally transected portions of equine ventral midline skin...
February 2015: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/24526375/continuous-versus-interrupted-skin-sutures-for-non-obstetric-surgery
#5
REVIEW
Kurinchi Selvan Gurusamy, Clare D Toon, Victoria B Allen, Brian R Davidson
BACKGROUND: Most surgical procedures involve a cut in the skin, allowing the surgeon to gain access to the surgical site. Most surgical wounds are closed fully at the end of the procedure; this review focuses on these closed wounds. There are many ways to close the surgical incision, for example, using sutures (stitches), staples, tissue adhesives or tapes. Skin sutures can be continuous or interrupted. In general, continuous sutures are usually subcuticular and can be absorbable or non-absorbable, while interrupted sutures are usually non-absorbable and involve the full thickness of the skin - although some surgeons do use absorbable interrupted sutures...
2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/23428250/the-influence-of-absorbable-subcuticular-staples-continuous-subcuticular-absorbable-suture-and-percutaneous-metal-skin-staples-on-infection-in-contaminated-wounds
#6
Angela Pineros-Fernandez, Lisa S Salopek, Pamela F Rodeheaver, George Rodeheaver
Wound infection is a threatening, troublesome, and costly complication contributing to increased mortality and morbidity. The methods and materials used to close a wound significantly influence the quality of the repair process and the risk of surgical site infection. Six pigs were used to evaluate the influence of four separate skin-closure modalities on the potentiation of infection in contaminated wounds. Full-thickness skin wounds on the abdomen were contaminated with S. aureus and then closed with one of four devices: a novel absorbable staple (InsorbTM) placed in the subcuticular tissue; a braided absorbable suture (VicrylTM); a monofilament absorbable suture (MonocrylTM); percutaneous metal staples...
2012: Journal of Long-term Effects of Medical Implants
https://www.readbyqxmd.com/read/23262925/surgical-staples-compared-with-subcuticular-suture-for-skin-closure-after-cesarean-delivery-a-randomized-controlled-trial
#7
RANDOMIZED CONTROLLED TRIAL
Dana Figueroa, Victoria Chapman Jauk, Jeff M Szychowski, Rachel Garner, Joseph R Biggio, William W Andrews, John Hauth, Alan T N Tita
OBJECTIVE: To compare the risk of cesarean wound disruption or infection after closure with surgical staples compared with subcuticular suture. METHODS: Women with viable pregnancies at 24 weeks of gestation or greater undergoing scheduled or unscheduled cesarean delivery were randomized to wound closure with surgical staples or absorbable suture. Staples were removed at postoperative days 3-4 for low transverse incisions and days 7-10 for vertical incisions. Standardized wound evaluations were performed at discharge (days 3-4) and 4-6 weeks postoperatively...
January 2013: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/23152219/techniques-and-materials-for-skin-closure-in-caesarean-section
#8
REVIEW
A Dhanya Mackeen, Vincenzo Berghella, Mie-Louise Larsen
BACKGROUND: Caesarean section is a common operation with no agreed upon standard regarding certain operative techniques or materials to use. With regard to skin closure, the skin incision can be re-approximated by a subcuticular suture immediately below the skin layer, by an interrupted suture, or by staples. A great variety of materials and techniques are used for skin closure after caesarean section and there is a need to identify which provide the best outcomes for women. OBJECTIVES: To compare the effects of skin closure techniques and materials on maternal and operative outcomes after caesarean section...
2012: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/22972064/techniques-and-materials-for-skin-closure-in-caesarean-section
#9
REVIEW
A Dhanya Mackeen, Vincenzo Berghella, Mie-Louise Larsen
BACKGROUND: Caesarean section is a common operation with no agreed upon standard regarding certain operative techniques or materials to use. With regard to skin closure, the skin incision can be re-approximated by a subcuticular suture immediately below the skin layer, by an interrupted suture, or by staples. A great variety of materials and techniques are used for skin closure after caesarean section and there is a need to identify which provide the best outcomes for women. OBJECTIVES: To compare the effects of skin closure techniques and materials on maternal and operative outcomes after caesarean section...
2012: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/22588404/wound-complications-in-joint-arthroplasty-comparing-traditional-and-modern-methods-of-skin-closure
#10
Ronak M Patel, Max Cayo, Arpan Patel, Marie Albarillo, Lalit Puri
Various methods of skin closure exist in joint replacement surgery. Although subcuticular skin closure techniques offer an aesthetic advantage over conventional skin stapling, no measurable differences have been reported. Furthermore, newer barbed sutures, such as the V-Loc absorbable suture (Covidien, Mansfield, Massachusetts), theoretically distribute tension evenly through the wound and help decrease knot-related complications. The purpose of this study was to evaluate whether wound complication rates were (1) lower in V-Loc closure cases as theoretically suggested, (2) lower for subcuticular closure vs staples, and (3) significantly different for knee and hip joint reconstruction...
May 2012: Orthopedics
https://www.readbyqxmd.com/read/22037686/skin-closure-with-subcuticular-absorbable-staples-after-cesarean-section-is-associated-with-decreased-analgesic-use
#11
COMPARATIVE STUDY
Joshua Nitsche, Connor Howell, Thomas Howell
PURPOSE: To determine if skin closure with subcuticular absorbable staples at the time of cesarean section is associated with decreased in-hospital analgesic use compared to skin closure with surgical steel staples. METHODS: A retrospective cohort study was performed between 1 January 2005 and 31 December 2008 comparing in-hospital analgesic use after cesarean section between patients ,who underwent skin closure with surgical steel staples and subcuticular absorbable polyglycolic acid staples...
April 2012: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/22011354/modality-of-wound-closure-after-total-knee-replacement-are-staples-as-safe-as-sutures-a-retrospective-study-of-181-patients
#12
Justin T Newman, Steven J Morgan, Gustavo V Resende, Allison E Williams, E Mark Hammerberg, Michael R Dayton
BACKGROUND: Surgical site wound closure plays a vital role in post-operative success. This effect is magnified in regard to commonly performed elective procedures such as total knee arthroplasty. The use of either sutures or staples for skin re-approximation remains a contested subject, which may have a significant impact on both patient safety and surgical outcome. The literature remains divided on this topic. METHODS: Two cohorts of patients at a level one trauma and regional referral center were reviewed...
2011: Patient Safety in Surgery
https://www.readbyqxmd.com/read/21284596/scientific-basis-for-the-selection-of-surgical-staples-and-tissue-adhesives-for-closure-of-skin-wounds
#13
REVIEW
Richard F Edlich, K Gubler, Holly S Stevens, Anne G Wallis, Jamie J Clark, Jill J Dahlstrom, Samantha K Rhoads, William B Long
During the last four decades, there have been revolutionary advances in the development of skin staples as well as tissue adhesives. One of the purposes of this collective review is to provide an overview of recent advances in the development of metal and absorbable skin staples and tissue adhesives. In addition, we will provide technical considerations in the use of metal and absorbable skin staples and tissue adhesives during surgery. On the basis of extensive experimental studies, we would recommend the Autosuture™ Multifire Premium™ metal skin stapler...
2010: Journal of Environmental Pathology, Toxicology and Oncology
https://www.readbyqxmd.com/read/20839703/a-randomized-prospective-study-of-total-hip-wound-closure-with-resorbable-subcuticular-staples
#14
RANDOMIZED CONTROLLED TRIAL
David A Fisher, Lowell L Bengero, Brenda C Clapp, Mary Burgess
Resorbable subcuticular staples are a new way to close surgical wounds and have not been reported in the orthopedic literature. This randomized, controlled study compared a resorbable subcuticular staple system with stainless steel wound stapling in patients undergoing unilateral primary total hip arthroplasty (THA). Institutional Review Board approval and patient consent was obtained for all patients. Sixty patients (30 each group) were randomized to receive either resorbable subcuticular staples or stainless steel staples after primary THA...
September 2010: Orthopedics
https://www.readbyqxmd.com/read/19797094/comparison-of-incision-closures-with-subcuticular-and-percutaneous-staples
#15
COMPARATIVE STUDY
Harley S Dresner, Peter A Hilger
OBJECTIVE: Incision closures should yield safe, effective healing with excellent cosmesis. Subcuticular absorbable staples may combine the advantages of subcuticular suturing with the efficiency of percutaneous stapling. This study compares absorbable subcuticular staples with percutaneous metal staples as a means of incision closure in facial rejuvenation surgery. METHODS: Sixteen patients undergoing endoscopic eyebrow-lift and/or rhytidectomy were studied. Each patient had 50% of their temporal and postauricular skin incisions closed with subcuticular staples oversewn with 5-0 plain gut and the remaining 50% closed with percutaneous metal staples...
September 2009: Archives of Facial Plastic Surgery
https://www.readbyqxmd.com/read/17488393/renal-transplant-incision-closure-using-new-absorbable-subcuticular-staple-device
#16
Vivian A Tellis
Closure of skin incisions has received scant attention in the transplant literature. Yet, wound healing can be an important source of morbidity after transplantation. Recently, a novel form of skin closure utilizing absorbable subcuticular staples has become available. It was used in 26 live-related and deceased donor kidney transplant recipients. A large (no. 1) continuous absorbable suture with wide, sweeping bites was first used to attach the subcutaneous tissue to the fascia, thus removing all stress from the skin edges...
May 2007: Clinical Transplantation
https://www.readbyqxmd.com/read/16566742/a-revolutionary-advance-in-skin-closure-compared-to-current-methods
#17
Angela Piñeros-Fernandez, Lisa S Salopek, Pamela F Rodeheaver, David B Drake, Richard F Edlich, George T Rodeheaver
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 10(4) or 10(5) 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...
2006: Journal of Long-term Effects of Medical Implants
https://www.readbyqxmd.com/read/16334959/comparison-of-gross-and-histologic-tissue-responses-of-skin-incisions-closed-by-use-of-absorbable-subcuticular-staples-cutaneous-metal-staples-and-polyglactin-910-suture-in-pigs
#18
COMPARATIVE STUDY
Jennifer L Fick, Roberto E Novo, Nicole Kirchhof
OBJECTIVE: To assess gross and histologic tissue responses of skin incisions closed by use of absorbable subcuticular staples, cutaneous metal staples, and polyglactin 910 suture in pigs. ANIMALS: 8 purpose-bred disease-free pigs. PROCEDURE: Pigs were randomly allocated to 1 of 4 groups from which tissues were collected after death on postoperative days (PODs) 7, 14, 21, or 42. In each pig, 4 incisions were made; 1 was closed subcuticularly with 3-0 polyglactin 910 suture, 1 was closed with metal staples, and 2 were closed with absorbable subcuticular staples...
November 2005: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/12887534/use-of-adhesive-surgical-tape-with-the-absorbable-continuous-subcuticular-suture
#19
REVIEW
Jeremy D Kolt
BACKGROUND: The absorbable continuous subcuticular suture is frequently used to close surgical incisions where the aim is healing by primary intention. A form of adhesive surgical tape is commonly also placed over the wound but this combination closure seems to have its development based on anecdotal, rather than experimental evidence. The present study reviews the scientific literature on the development of sutureless wound closure and presents the current evidence for the use of combination wound closure...
August 2003: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/11730233/tensile-strength-of-wound-closure-with-cyanoacrylate-glue
#20
A J Shapiro, R C Dinsmore, J H North
2-Octyl cyanoacrylate tissue adhesive is increasingly being used for closure of traumatic lacerations. Data regarding the strength of incisions closed with 2-octyl cyanoacrylate are limited. We compared the strength of disruption of closure with glue with that of more conventional methods of wound closure. Segments of fresh porcine skin measuring 3.5 x 10 cm were approximated by one of four methods: 1) 2-octyl cyanoacrylate glue, 2) surgical staples, 3) 0.5 inch Steri-Strips, and 4) interrupted 4-0 poliglecaprone 25 sutures in a subcuticular fashion...
November 2001: American Surgeon
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