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Related Experiment Videos

Staples for wound closure: a controlled trial.

D Gatt, C R Quick, M S Owen-Smith

    Annals of the Royal College of Surgeons of England
    |September 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

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    Skin staples offer faster wound closure than sutures, saving time on abdominal incisions. While slightly more expensive, their speed and convenience are advantageous for surgical wound management.

    Area of Science:

    • Surgical Innovation
    • Wound Closure Techniques
    • Comparative Effectiveness Research

    Background:

    • Traditional wound closure methods include sutures (polypropylene, polyglactin) and skin staples.
    • Evaluating the efficiency, cost-effectiveness, and patient outcomes of different wound closure modalities is crucial in surgical practice.

    Purpose of the Study:

    • To compare the speed, convenience, effectiveness, and cost of skin staples versus conventional suture methods for linear abdominal incisions.
    • To determine the optimal method for skin closure in terms of clinical and economic factors.

    Main Methods:

    • A randomized controlled trial involving 195 patients with linear abdominal incisions.
    • Patients were allocated to three groups: polypropylene sutures, polyglactin sutures, or stainless steel staples for interrupted skin closure.

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  • Wound assessment was conducted over a 30-day period.

    • Main Results:

    • Skin staples demonstrated a significantly faster wound closure rate (22.5 cm/min) compared to sutures (4.2 cm/min), saving an average of three minutes per wound.
    • The time savings with staples were more pronounced for longer incisions.
    • Polyglactin sutures resulted in the least wound pain; staples incurred a slightly higher cost (50p per 15 cm wound).

    Conclusions:

    • Skin staples provide superior speed and convenience for surgical wound closure, outweighing their marginal additional cost.
    • The reuse of disposable stapling instruments until depleted can further enhance the cost-effectiveness of skin staples.
    • Skin staples are a viable and efficient alternative to traditional sutures for linear abdominal incisions.