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Related Experiment Videos

A new device for securing meshed split-thickness skin grafts

H N Himel1, G T Rodeheaver, A Luterman

  • 1Department of Plastic Surgery, University of Virginia Medical School, Charlottesville.

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
|December 1, 1994
PubMed
Summary

The Graftac-S surgical stapler uses absorbable tacks for wound closure, reducing patient discomfort and postoperative care. This innovative device eliminates the need for staple removal, improving the healing process.

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Area of Science:

  • Surgical innovation
  • Biomaterials science
  • Wound healing

Background:

  • Traditional wound closure often involves stainless steel staples requiring removal.
  • Staple removal can cause patient discomfort and increase postoperative care needs.
  • The development of absorbable materials offers potential advantages in surgical device design.

Purpose of the Study:

  • To describe the design, operation, and biomechanical performance of the Auto Suture Multifire Graftac-S.
  • To compare the Graftac-S with the Auto Suture Multifire Premium skin stapler.
  • To evaluate the efficacy and biocompatibility of absorbable tacks for graft fixation.

Main Methods:

  • The study involved two clinical trials with 10 patients each.
  • The Graftac-S device, which ejects reloadable absorbable tacks, was used for graft fixation.

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  • Biomechanical performance and clinical outcomes were assessed.

    • Main Results:

    • The Graftac-S successfully delivered absorbable tacks that were biocompatible.
    • Grafts were securely fixed to wounds using the absorbable tacks.
    • Approximately 90% of tacks extruded spontaneously by postoperative day 10.
    • Elimination of staple removal reduced patient discomfort and postoperative care.

    Conclusions:

    • The Graftac-S disposable surgical stapler with absorbable tacks is effective for wound closure and graft fixation.
    • The device offers significant advantages over traditional stainless steel staples, including reduced patient discomfort and simplified postoperative care.
    • Spontaneous extrusion of absorbable tacks minimizes the need for secondary procedures.