Adhesive Strips for the Closure of Surgical Incisional Sites

Gkegkes, Ioannis D.; Mavros, Michael N.; Alexiou, Vangelis G.; Peppas, George; Athanasiou, Stavros; Falagas, Matthew E.

doi:10.1177/1553350611418989

Cited by 21 publications

(15 citation statements)

References 38 publications

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“…In a systematic review and meta‐analysis of adhesive strips for surgical site incisional sites, Gkegkes and colleagues found three studies that found no significant difference in WD risk between adhesive strips and suturing, stapling, and tissue glue, although one study found the need for resuturing to be significantly higher for wounds closed using strips. They speculated that this may be because accurate skin edge apposition is not always possible as the wound edges may evert as postoperative swelling decreases . We agree and feel that tissue adhesive provides better security and approximation for the wound edges.…”

Section: Discussionmentioning

confidence: 62%

Full-Thickness Skin Grafts Secured Using 2-Octylcyanoacrylate and Adhesive Strips

Ranario

Shimizu

2014

Dermatologic Surgery

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Section: Discussionmentioning

confidence: 62%

Full-Thickness Skin Grafts Secured Using 2-Octylcyanoacrylate and Adhesive Strips

Ranario

Shimizu

2014

Dermatologic Surgery

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“…With regards to long‐term cosmesis, there were no studies with outcomes greater than 6 weeks. A systematic review and meta‐analysis of surgical incision closure have been published, demonstrating superior long‐term cosmesis with adhesive tape compared to sutures, although none of the incisions were performed on the neck . The meta‐analysis showed that closure with adhesive tape was also found to have better patient satisfaction at follow‐up and lower incidences of redness, potentially giving this method of closure an advantage compared to sutures.…”

Section: Discussionmentioning

confidence: 99%

Optimal wound closure techniques for thyroid and parathyroid surgery: A systematic review of cosmetic outcomes

Lee

Ward

Oremule

et al. 2019

Clinical Otolaryngology

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Objectives Cosmesis after surgical wound closure is an important outcome. This is relevant after thyroid and parathyroid surgery as anterior neck scars are visible and often of concern to patients. We aimed to investigate whether wound closure method influences cosmetic outcome in thyroid and parathyroid surgery, in particular using sutures, staples, steri‐strips and glue. Design We performed a systematic review of MEDLINE, PubMed, EMBASE, CINAHL and Cochrane focusing on wound cosmesis following thyroid and parathyroid surgery. Searches were conducted using combinations of the search terms: thyroid/parathyroid surgery, wound/skin closure and suture, staples, clips, glue and steri‐strips, using appropriate MESH terms and Boolean operators. Main outcome measures Primary outcome was wound cosmesis. Secondary measures were also extracted. Results Initial search found 304 papers and after systematic review, a total of 10 studies compared different closure methods and cosmetic outcomes. There were nine randomised controlled trials and one cohort study, with a total of 712 patients. Three studies compared staples vs glue; three compared sutures vs clips; two compared suture vs steri‐strips and two studies for suture vs glue. In general, short‐term cosmesis was better with subcuticular sutures compared to glue or clips, long‐term cosmetic outcomes were not influenced by closure method. Conclusions We found closure with subcuticular suture or steri‐strips produced superior short‐term cosmetic outcomes. Although long‐term cosmetic outcome is not influenced by closure method, given the superior cosmetic outcome and advantage of not needing removal, we recommend subcuticular sutures should be performed for wound closure in thyroid and parathyroid surgery.

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“…17 Adhesive strips have been shown to have similar rates of infection, wound dehiscence, and cosmetic results as sutures, but have only been systematically compared in small surgical wounds. 18 It is the opinion of the first author that large or high-tension wounds with controlled hemostasis be managed with wet-to-dry dressings and delayed closure. Wounds that require intervention for hemostasis can be sutured, with the provider maintaining a low threshold for evacuation for definitive management.…”

Section: Discussionmentioning

confidence: 99%

They Had Me in Stitches: A Grand Canyon River Guide’s Case Report and a Review of Wilderness Wound Management Literature

Spano¹,

Dimock²

2014

Wilderness & Environmental Medicine

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We present a case of failed conservative management of a traumatic wound sustained in a wilderness setting. The patient was initially treated with a povidone-iodine scrub, suture closure, and expectant management by 2 physicians who were paying clients on a multiday river rafting expedition. Empiric antibiotic coverage and irrigation of the dehisced wound were initiated several days after initial treatment. The patient arranged his own evacuation 8 days after injury. Hospitalization, intravenous (IV) antibiotics, and surgical debridement with wound vacuum placement led to a full recovery. This case presents several common wound care pitfalls. The sequelae to these pitfalls are more dramatic in a wilderness setting and underscore the importance of early aggressive management and considering prompt evacuation when treating wounds sustained in the wilderness.

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Adhesive Strips for the Closure of Surgical Incisional Sites

Abstract: The findings suggest that adhesive strips may be an efficient closure material for certain small-length incisions. Further research is warranted on outcomes such as dehiscence and the need for resuturing.

Cited by 21 publications

References 38 publications

Full-Thickness Skin Grafts Secured Using 2-Octylcyanoacrylate and Adhesive Strips

Full-Thickness Skin Grafts Secured Using 2-Octylcyanoacrylate and Adhesive Strips

Optimal wound closure techniques for thyroid and parathyroid surgery: A systematic review of cosmetic outcomes

They Had Me in Stitches: A Grand Canyon River Guide’s Case Report and a Review of Wilderness Wound Management Literature

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