[Skin suture with skin stapler in general surgery].

Area of Science:

• Surgical Innovation
• Wound Closure Techniques
• Dermatologic Surgery

Background:

• Traditional silk sutures have been a standard for skin closure.
• Concerns exist regarding inflammation and aesthetic results with silk sutures.
• The development of surgical stapling devices offers an alternative.

Purpose of the Study:

• To compare the efficacy and outcomes of skin staplers versus silk sutures for skin closure.
• To evaluate differences in inflammation, aesthetic results, and procedure time.
• To assess the clinical advantages of skin staplers in surgical wound management.

Main Methods:

• A comparative study involving 394 patients undergoing skin closure.
• 193 patients received skin closure with the APPOSE ULC metal stapler.
• 201 patients received skin closure with silk stitches and an atraumatic needle.

Main Results:

• Skin staplers demonstrated significantly less inflammation compared to silk stitches.
• Superior aesthetic results were observed with the skin stapler over time.
• Surgical staplers were 4-7 times faster for skin incision closure than silk stitching.

Conclusions:

• Surgical skin staplers provide substantial advantages over traditional silk sutures.
• The use of skin staplers leads to improved patient outcomes and reduced procedure times.
• Wider adoption of skin staplers is encouraged to potentially lower costs.