A comparison of septal stapler to suture closure in septoplasty: a prospective, randomized trial evaluating the effect on operative time

Sowerby, Leigh J.; Wright, Erin D.

doi:10.1002/alr.21209

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…There are only four previous studies on the use of the stapler, one published in Chinese. Sowerby et al (2013) reported that the stapler shortens the closure time with a mean of six minutes, however, we observed no significant time saving (5) . An important difference between our study and Sowerby's is the size, whilst Sowerby's study included 16 patients, our study included 457 patients.…”

Section: Discussioncontrasting

confidence: 60%

“…An important difference between our study and Sowerby's is the size, whilst Sowerby's study included 16 patients, our study included 457 patients. In Sowerby's study, all operations were performed by the same surgeon, while our material consisted of operations performed by different surgeons (5) . It is possible that we have a selection bias in the group of surgeons using sutures, as it is mostly one very experienced surgeon who uses suturing at our clinic, whereas the stapler was also used by residents, whose operations naturally take a longer time.…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally, this has been done with sutures, silicone splints, or nasal tamponade. These methods contribute to haemostasis and prevent displacement of the remaining septum (4,5) .…”

Section: Introductionmentioning

confidence: 99%

“…There are several suturing techniques described for coaptating the mucosa. Whilst suturing is effective, it has been described as time consuming (5) . Complications reported after suturing include septal perforations and synechiae formation (5,6) .…”

Section: Introductionmentioning

confidence: 99%

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Complications and number of follow-up visits after using septal stapler in septoplasty

Sainio

Blomgren

Lundberg

2019

Rhin

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Background: Septoplasties have traditionally been closed with transseptal sutures, silicone splints, or packing with nasal tamponade. In 2015, our clinic began to employ a septal stapler. The stapler adheres the mucosa to the septal cartilage with bioresorbable staples, replacing both sutures and silicone splints and limiting the use of nasal tamponade for bleeding cases.The complications of stapler versus other methods have not been reported on previously. Thus, the aim of this study was to investigate whether the use of stapler in septoplasties makes a difference in complication rates, operation time, or number of follow-up visits when compared to the traditional closure or filling methods.Methodology: Patient records from 101 septoplasties in which the stapler had been used, and a reference group of 356 septoplasties in which the stapler had not been used, were retrospectively reviewed and analysed.Results: No significant difference was seen in the complication rate between the stapler and the control group. Overall follow-up visits were fewer in the stapler group when compared to the control group, however there was no significant difference in the number of unplanned follow-up visits between the groups. Conclusions: By using the stapler in septoplasty, the number of postoperative follow-up visits might be reduced. Neither complication rate, nor operation time differed when using the stapler as compared to the traditional methods of closure.

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

“…Traditionally, this has been done with sutures, silicone splints, or nasal tamponade. These methods contribute to haemostasis and prevent displacement of the remaining septum (4,5) .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complications and number of follow-up visits after using septal stapler in septoplasty

Sainio

Blomgren

Lundberg

2019

Rhin

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Improving Operating Room Efficiency in Otolaryngology–Head and Neck Surgery: A Scoping Review

Hathi,

Nam,

Fowler

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveOne minute of operating room (OR) time costs $36 to 37. However, ORs are notoriously inefficient. There is growing literature on improving OR efficiency, but no formal review of this topic within otolaryngology has been performed. This study reviews and synthesizes the current literature on improving OR efficiency within otolaryngology.Data SourcesMEDLINE, EMBASE, Web of Science, CINAHL, Cochrane Library, preprints.org, and medRxiv were searched on November 4, 2022.Review MethodsPublished English studies were included if they reported on metrics for improving OR efficiency within otolaryngology. There were no publication date restrictions. Articles were screened by 2 reviewers. Preferred Reporting Items for Systematic Reviews and Meta‐analysis reporting for scoping reviews was followed.ResultsThe search yielded 9316 no‐duplicate articles; 129 articles were included. Most of the studies reported on head and neck procedures (n = 52/129). The main tactics included surgical considerations: hemostatic devices, techniques, and team/simultaneous approaches; anesthetic considerations: local anesthetic and laryngeal mask airways; procedure location considerations: procedures outside of the OR and remote technologies; standardization: equipment, checklists, and personnel; scheduling considerations: use of machine learning for booking, considering patient/surgeon factors, and utilizing dedicated OR time/multidisciplinary teams for on‐call cases.ConclusionThe current literature brings to attention numerous strategies for improving OR efficiency within otolaryngology. Applying these strategies and implementing novel techniques to manage surgical cases may assist in offloading overloaded health care systems and improving access to care while facilitating patient safety and outcomes. Anticipated barriers to implementation include resistance to change, funding, and the current strain on health care systems and providers.

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Nasal silicone splints and quilting sutures using a septum stitch device following septoplasty: a prospective comparative study

Kuboki

Kikuchi

Asaka

et al. 2018

Eur Arch Otorhinolaryngol

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A comparison of septal stapler to suture closure in septoplasty: a prospective, randomized trial evaluating the effect on operative time

Abstract: Coaptation of the mucosal flaps in septoplasty with a septal stapler affords a timesaving in the operating room with no difference in operative outcome.

Cited by 4 publications

References 9 publications

Complications and number of follow-up visits after using septal stapler in septoplasty

Complications and number of follow-up visits after using septal stapler in septoplasty

Improving Operating Room Efficiency in Otolaryngology–Head and Neck Surgery: A Scoping Review

Nasal silicone splints and quilting sutures using a septum stitch device following septoplasty: a prospective comparative study

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