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A new device for sutureless skin closure "the zipper"
P Carcoforo1, E F Jorizzo, U Maestroni
1University of Ferrara, Department of General Surgery.
Annali Italiani Di Chirurgia
|August 1, 2002
Summary
This study evaluated a new skin closure device, the "zipper," comparing its effectiveness and complications against traditional sutures. While offering advantages, some cases required conversion to sutures due to complications.
Area of Science:
- Surgical Innovation
- Wound Management
- Medical Device Evaluation
Background:
- A prospective, controlled, randomized study was conducted to assess a novel skin closure device, the "zipper."
- The study compared the morbidity and advantages of the zipper against traditional suture methods.
Purpose of the Study:
- To investigate the clinical utility and outcomes associated with the "zipper" device for skin closure.
- To analyze the morbidity rates and benefits of using the zipper compared to sutures.
Main Methods:
- A total of 610 patients undergoing surgery for various pathologies were included.
- The "zipper" device was utilized for skin closure in 203 of these patients.
Main Results:
- Complications necessitating the substitution of the zipper with sutures or secondary wound healing occurred in 6 out of 203 cases.
- These complications included hematoma, lymphorrhea, and wound infection, particularly in patients undergoing procedures like inguinal hernioplasty and appendicectomy.
Conclusions:
- The "zipper" offers an efficient seal, simple application, and aesthetic benefits.
- Its suitability for local anesthesia and painless application makes it a potential option for pediatric surgery.