keyword
https://read.qxmd.com/read/37369266/zinc-based-subcuticular-absorbable-staples-an-in-vivo-and-in-vitro-study
#1
JOURNAL ARTICLE
Nan Yang, Jeffrey Venezuela, Rachel Allavena, Cora Lau, Matthew Dargusch
A zinc-nutrient element alloy (Zn-1.0Cu-0.5Ca) was developed into subcuticular absorbable staples (SAS) as a robust alternative to the commercially available poly(l-lactide-co-glycolide) (PLGA) SAS for the first time. The fixation properties of the Zn SAS were measured via pull-out tests and in-situ lap-shear pull-out test comparatively against the PLGA SAS. The Zn SAS exhibited fixation force of 18.9±0.2 N, which was over three times higher than that of PLGA SAS (5.5±0.1 N). The Zn SAS was used to close incision wounds in a SD rat model for biodegradability and biocompatibility characterisation at 1, 4 and 12 weeks...
June 25, 2023: Acta Biomaterialia
https://read.qxmd.com/read/36821724/optimal-primary-wound-closure-methods-after-thyroid-and-parathyroid-surgery-network-meta-analysis-of-randomized-clinical-trials
#2
JOURNAL ARTICLE
Matthew G Davey, Ferdia Browne, Martin S Davey, Stewart R Walsh, Michael J Kerin, Aoife J Lowery
BACKGROUND: At present, there is no consensus on optimal neck wound closure methods after thyroid and parathyroid surgery. The aim of this study was to perform a systematic review and network meta-analysis of RCTs evaluating the optimal neck closure method after thyroid and parathyroid surgery. METHODS: A frequentist random-effects network meta-analysis was performed for RCTs comparing at least two closure methods according to PRISMA-network meta-analysis guidelines...
January 6, 2023: BJS Open
https://read.qxmd.com/read/35852281/suture-compared-with-staples-for-skin-closure-after-cesarean-delivery-a-systematic-review-and-meta-analysis
#3
JOURNAL ARTICLE
A Dhanya Mackeen, Maranda V Sullivan, Meike Schuster, Vincenzo Berghella
OBJECTIVE: Absorbable suture is the preferred method of cesarean skin closure compared with metal staples, because it decreases wound complications. Two recently published trials in patients with obesity contradict this evidence. The goal of this meta-analysis was to assess whether suture remains the recommended method of cesarean skin closure, regardless of obesity status. DATA SOURCES: MEDLINE through OVID, PubMed, Cochrane Database, and ClinicalTrials.gov were searched from inception until September 24, 2021...
August 1, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/35801356/an-updated-review-on-layered-closure-techniques-for-total-hip-arthroplasty
#4
JOURNAL ARTICLE
Nipun Sodhi, Zhongming Chen, Sandeep S Bains, Luke J Garbarino, Michael A Mont
INTRODUCTION: One of the main concerns with total hip arthroplasty is the development of periprosthetic joint infections (PJIs). Appropriate wound closure can contribute to the prevention of PJIs with a watertight closure effectively sealing the implant from the outside. It is important to continuously investigate which materials as well as techniques are potentially the most efficacious and cost effective for wound closure. Therefore, the purpose of this review article was to critically appraise the current total hip arthroplasty wound closure materials and techniques as reported in the literature...
July 7, 2022: Surgical Technology International
https://read.qxmd.com/read/35646493/the-learning-curve-of-an-absorbable-subcuticular-stapling-device-in-plastic-and-reconstructive-surgery
#5
JOURNAL ARTICLE
Shaani Singhal, Kim O Taylor, Richard Bloom
Background: Learning curves can reflect a surgical trainee's rate of progress and competence in acquiring new skills. The INSORB subdermal staple device has been well established to facilitate decreased closure time across various surgical procedures, with similar cosmesis, healing, and consistency as those of standard subdermal sutures. This study is unique, as it demonstrated an observable learning curve with this device when used by a junior surgeon. Methods: Sixty-six patients underwent a cosmetic procedure during the second half of 2019 under the care of a single plastic surgeon in Melbourne, Australia...
May 2022: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/34922270/zinc-nutrient-element-based-alloys-for-absorbable-wound-closure-devices-fabrication-current-status-challenges-and-future-prospects
#6
REVIEW
Nan Yang, Jeffrey Venezuela, Sharifah Almathami, Matthew Dargusch
The need for the development of load-bearing, absorbable wound closure devices is driving the research for novel materials that possess both good biodegradability and superior mechanical characteristics. Biodegradable metals (BMs), namely: magnesium (Mg), zinc (Zn) and iron (Fe), which are currently being investigated for absorbable vascular stent and orthopaedic implant applications, are slowly gaining research interest for the fabrication of wound closure devices. The current review presents an overview of the traditional and novel BM-based intracutaneous and transcutaneous wound closure devices, and identifies Zn as a promising substitute for the traditional materials used in the fabrication of absorbable load-bearing sutures, internal staples, and subcuticular staples...
January 2022: Biomaterials
https://read.qxmd.com/read/34261158/wound-management-following-total-knee-arthroplasty-an-updated-review
#7
REVIEW
Brandon H Naylor, John M Tarazi, Hytham S Salem, Steven F Harwin, Michael A Mont
Optimal wound closure techniques following total knee arthroplasty (TKA) have focused on enhancing healing potential, preventing infection, yielding satisfactory cosmesis, and allowing early ambulation and functionality. An appropriate layered closure and management of the TKA typically involves addressing the (1) deep fascial layer; (2) subdermal layer; (3) intradermal layer, including the subcuticular region; and (4) final application of a specific aseptic dressing, each of which are covered here in detail...
February 2023: Journal of Knee Surgery
https://read.qxmd.com/read/34056751/dermatological-surgery-an-update-on-suture-materials-and-techniques-part-1
#8
REVIEW
I Ashraf, E Butt, D Veitch, A Wernham
Significant variation exists in the surgical suture materials and techniques used for dermatological surgery. Many wound-closure techniques are now practised, including use of sutures, staples and topical adhesives. The focus of our review article is to summarize the latest evidence relating to suture materials and wound-closure techniques, considering the following areas: scar/cosmesis, pain, patient satisfaction, cost, infection and wound complications. We searched the databases Medline, PubMed and Embase using the keywords 'skin surgery', 'dermatologic surgery', 'sutures', 'suture techniques', 'suturing techniques' and 'surgical techniques' to identify relevant English-language articles...
December 2021: Clinical and Experimental Dermatology
https://read.qxmd.com/read/32332337/effect-of-wound-closure-technique-in-proximal-femoral-fractures-a-prospective-cohort-study
#9
JOURNAL ARTICLE
Inas Azzah Badres, Kary Suen, Phong Tran
OBJECTIVES: To compare the effect of different wound closure techniques on wound drainage, postoperative length of stay, and complications in patients with proximal femoral fractures, including femoral neck fractures (31A fractures) and peritrochanteric fractures (31B fractures). DESIGN: Prospective cohort study. SETTING: Footscray Hospital, Western Health, Victoria, Australia; an acute teaching hospital. PATIENTS AND PARTICIPANTS: All inpatients receiving surgery for proximal femoral fractures at our facility between May 2016 and August 2017...
October 2020: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/32271475/subcuticular-sutures-for-skin-closure-in-non-obstetric-surgery
#10
JOURNAL ARTICLE
Saori Goto, Takashi Sakamoto, Riki Ganeko, Koya Hida, Toshi A Furukawa, Yoshiharu Sakai
BACKGROUND: Following surgery, surgical wounds can be closed using a variety of devices including sutures (subcuticular or transdermal), staples and tissue adhesives. Subcuticular sutures are intradermal stitches (placed immediately below the epidermal layer). The increased availability of synthetic absorbable filaments (stitches which are absorbed by the body and do not have to be removed) has led to an increased use of subcuticular sutures. However, in non-obstetric surgery, there is still controversy about whether subcuticular sutures increase the incidence of wound complications...
April 9, 2020: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/31815085/a-double-blinded-randomised-controlled-trial-do-subcuticular-non-absorbable-skin-sutures-have-a-better-aesthetic-outcome-than-skin-staples-in-large-wound-closures
#11
JOURNAL ARTICLE
Joshua Agilinko, Poh Tan
Introduction: Traditionally, non-absorbable skin sutures (SS) have been utilised in the closure of the skin in large wounds. More recently, however, skin staples (SC) have been introduced with the aim of reducing closure time and infection rates. Method: A double-blinded randomized controlled trial in all patients undergoing elective open surgeries in a single unit, from May 2007 to May 2010. Data on patient demographics, type of surgery, methods of skin closure, rate of wound infection and cosmetic satisfaction were collected...
2019: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://read.qxmd.com/read/30461155/absorbable-subcuticular-staples-versus-suture-for-caesarean-section-closure-a-randomised-clinical-trial
#12
RANDOMIZED CONTROLLED TRIAL
A M Madsen, M L Dow, C M Lohse, J A Tessmer-Tuck
OBJECTIVE: To compare outcomes of efficiency, safety, patient, and surgeon satisfaction between absorbable subcuticular staples and subcuticular suture for caesarean section skin closure. DESIGN: A prospective, randomised, non-blinded, parallel-group trial. SETTING: Mayo Clinic Family Birth Center in Rochester, MN, USA. POPULATION: At least 18 years old and 24 weeks' gestation, undergoing caesarean section. Exclusion criteria were body mass index >50, chorioamnionitis, intrauterine fetal death, and multifetal gestation...
March 2019: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/29791700/closing-the-gap-novel-abdominal-wound-closure-techniques
#13
REVIEW
James Dana Kondrup, Alaina M Qayyum
Traditionally, surgical procedures within the realm of both general and gynecological surgery employ the use of staples and interrupted sutures that run continuously with knot tying or subcuticular sutures to ensure closure of large wound incisions, subcuticular incisions, and fascial repair. However, these methods may not always be cosmetically favorable and, thus, result in an unpleasant outcome for the patient, adding to their surgery-related stress. It is, therefore, imperative that surgeons and gynecologists are aware of alternative methods of wound closure that are not only cosmetically favorable, but also ensure rapid wound recovery and infection control...
June 1, 2018: Surgical Technology International
https://read.qxmd.com/read/29739243/patient-satisfaction-and-cosmetic-outcome-in-a-randomized-study-of-cesarean-skin-closure
#14
RANDOMIZED CONTROLLED TRIAL
Jonah Fleisher, Adeeb Khalifeh, Christian Pettker, Vincenzo Berghella, Nooreen Dabbish, A Dhanya Mackeen
Objective: To evaluate patient satisfaction and patient and physician assessment of scar appearance after cesarean skin closure with suture versus staples. Methods: Women undergoing cesarean delivery (CD) at ā‰„23 weeks' gestation via low-transverse skin incisions at three hospitals in the CROSS Consortium were randomized to receive skin closure using subcuticular absorbable suture or nonabsorbable metal staples. The primary outcome of this substudy, patient satisfaction, was assessed by surveys at the postpartum visit using a 10-point Likert scale...
November 2019: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/29148019/a-prospective-randomised-comparison-of-2-skin-closure-techniques-in-primary-total-hip-arthroplasty-surgery
#15
RANDOMIZED CONTROLLED TRIAL
Min Rui, Xin Zheng, Shao-Song Sun, Cheng-Yu Li, Xing-Chen Zhang, Kai-Jin Guo, Feng-Chao Zhao, Yong Pang
INTRODUCTION: As an essential step of total hip arthroplasty (THA), an effective and secure skin closure technique after primary THA is important. Metallic staples closure and subcuticular suture are the 2 common techniques for skin closure. However, which closure technique is the optimal skin-closure method remains unclear. The purpose of this prospective randomised clinical study was to compare the clinical outcomes and costs between staples and subcuticular suture techniques. METHODS: In this clinical study, 165 patients who underwent primary unilateral THA through a posterolateral approach from August 2014 to May 2015 were included...
January 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/27632411/incidence-of-wound-complications-in-cesarean-deliveries-following-closure-with-absorbable-subcuticular-staples-versus-conventional-skin-closure-techniques
#16
JOURNAL ARTICLE
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...
November 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/26530478/placement-of-absorbable-dermal-staples-in-mammaplasty-and-abdominoplasty-a-12-month-prospective-study-of-60-patients
#17
COMPARATIVE STUDY
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://read.qxmd.com/read/25530592/suture-versus-staples-for-skin-closure-after-cesarean-a-metaanalysis
#18
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://read.qxmd.com/read/25077672/biomechanical-evaluation-of-a-novel-subcuticular-skin-stapling-device-for-use-in-equine-abdominal-surgeries
#19
JOURNAL ARTICLE
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 (nā€‰=ā€‰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
https://read.qxmd.com/read/24526375/continuous-versus-interrupted-skin-sutures-for-non-obstetric-surgery
#20
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...
February 14, 2014: Cochrane Database of Systematic Reviews
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