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Randomised trial comparing Proximate stapler with conventional skin closure

J Eldrup, U Wied, B Andersen

Acta Chirurgica Scandinavica

|January 1, 1981

Summary

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The Proximate surgical stapler offers faster skin closure than traditional methods in abdominal and breast surgeries. While infection rates were similar, stapling led to increased patient pain.

Area of Science:

Surgical innovation
Wound closure techniques
Clinical trials

Background:

Traditional suturing is a common method for surgical skin closure.
Evaluating novel devices for surgical wound management is crucial for improving patient outcomes.

Purpose of the Study:

To compare the efficacy and safety of the Proximate surgical stapler versus conventional skin closure methods.
To assess the impact of stapling on closure duration, wound infection, and patient-reported pain.

Main Methods:

A randomized controlled trial involving 137 patients undergoing elective abdominal and breast surgery.
Patients were randomized to receive either Proximate stapler or conventional skin closure.
Outcomes measured included skin closure time, incidence of wound infection, and pain levels.

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Main Results:

The Proximate stapler significantly reduced median skin closure time (80 seconds) compared to conventional closure (242 seconds).
No statistically significant difference in wound infection rates was observed between the two groups.
Patients undergoing stapling reported a higher incidence of post-operative pain.

Conclusions:

The Proximate surgical stapler provides a faster alternative for skin closure in abdominal and breast surgeries.
While efficient, the increased pain associated with stapling requires consideration for patient comfort management.