Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations: A randomized study of cost and time benefits

Kanegaye, John T.; Vance, Cheryl; Chan, Linda S.; Schonfeld, Nancy

doi:10.1016/s0022-3476(97)80025-x

Cited by 68 publications

(53 citation statements)

References 17 publications

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“…All the reviewed articles echoed the fact that stapling of wound was quicker and time saving when compared to conventional wound/skin closure methods. [4][5][6][7][8][9][10][11][12][13] The mean time saving of 80% was possible with stapling devices and was 2.7 times faster than conventional methods. 6,11 Most of the articles reviewed were also having an overall similar view when comparing the cost of using staples against conventional methods.…”

Section: Discussionmentioning

confidence: 99%

“…Staple were indeed more expensive than using conventional closure methods. 5,11,13 One of the studies had given the difference to be about 4 times. 14 A study opined that the extra cost of staples can be overcome provided the disposable instruments are reused until empty.…”

Section: Discussionmentioning

confidence: 99%

“…26 In a study involving paediatric population it was concluded that staples should be used for closure of scalp wounds more extensively. 13 With respect to closure of scalp wounds staple were safer to use and needle stick injury to operator is less likely. 20 Other study stated, the staple method of closure is safe comparable and effective in the emergency department settings.…”

Section: Discussionmentioning

confidence: 99%

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Abdominal skin incision closure with non-absorbable sutures versus staples- a comparative study

Muthukumar¹,

Venugopal²,

Subramaniam³

2017

Int Surg J

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Background: Bacterial smartness and innovations have clearly outsmarted and drained the antibiotic discovery pipelines of pharmaceutical brains throughout the globe. Postoperative infection is a major cause of antibiotic use. The aim of the study was to compare the effects of using non-absorbable suture materials and staples for abdominal skin incision closure in terms of the occurrence rate of surgical site infections, the level of comfort experienced by patient and the cosmetic acceptability of scar by the patient.Methods: A randomized control study conducted at the general surgical department of a tertiary hospital in Southern India. The final scores of the study in the categories of surgical site infection, pain and cosmesis were analyzed using Students t-test or Anova test.Results: The use of staples to close skin incision in laparotomy cases reduces surgical site infection, improves the perception of cosmetic appearance of scar to the patient and adds to the comfort of patient by reducing the pain experienced by the patient. The subgroup of population who may comprehensively benefit are patients below 40 years, middle and high socio economic status population, clean and clean contaminated surgeries where incision length is more than 5cm.Conclusions: The results of this study illustrated the fact that the use of staples in closure of skin incision in laparotomy case especially in selected subgroup of population significantly reduces the surgical site infection, hence slashing the use of antibiotics and in turn has the potential to reduce the incidence of antibiotic resistance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Abdominal skin incision closure with non-absorbable sutures versus staples- a comparative study

Muthukumar¹,

Venugopal²,

Subramaniam³

2017

Int Surg J

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“…Farion et al [9] suggested using tissue adhesives as they shorten procedure time and reduce the pain. Previous studies have shown that stapling is 5-7 times quicker than suturing [1]; [10]; [11]. Souza et al demonstrated that tissue adhesives were 3 times quicker than suture [12].…”

Section: Discussionmentioning

confidence: 99%

“…The repair of skin wounds is a significant part of emergency practice [1]. Lacerations constitute more than a fourth of all minor injuries and 4.4% to 11% of all visits to emergency departments [2].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Different Suture Techniques

Kavalcı¹,

Çevik²,

Durukan³

et al. 2015

Ann Clin Anal Med

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ÖzetAmaç: Travmalar acil servise sık başvuru nedenlerindendir. Sütür, skalp kesisi olan hastaların tedavisinde sıklıkla gereklidir. Bu çalışmada skalp kesisi olan hastalarda farklı sütür tekniklerinin yara iyileşmesi, hasta memnuniyeti ve maliyet üzerine etkisinin araştırılması amaçlanmıştır. Gereç ve Yöntem:Çalışmaya toplam 60 hasta alındı. Hastalar geleneksel sütür (Grup 1), stapler (Grup 2) ve doku yapıştırıcı grubu (Grup 3) olarak üç gruba ayrıldı. Grupların karşılaştırılmasında χ 2 ve Kruskal-Wallis testleri kullanıldı. p<0.05 değeri istatistiksel olarak anlamlı kabul edildi. Bulgular: Hastaların 2/3'ü erkekti. En fazla hasta memnuniyeti 3. gruptaydı (p<0.05). Maliyet açısından en ucuzu doku yapıştırıcılardı (p<0.05). Tartışma: Yaygın geleneksel inanışın tersine doku yapıştırıcı ve stapler gibi alternatif sütür teknikleri pahalı değildir. En fazla hasta memnuniyeti doku yapıştırıcı kullanılan gruptaydı. Anahtar KelimelerAcil; Stapler; Doku Yapıştırıcı Abstract Aim: Traumas are frequent causes of presentation to emergency departments. Suturing is usually required in treatment of patients with scalp laceration. This study aimed to investigate different suture methods with respect of patient satisfaction, wound healing, and treatment cost in patients with scalp laceration. Material and Method: A total of 60 patients were included in the study. The patients were divided into 3 groups; traditional suturing (Group 1), stapling (Group 2), and the tissue adhesive (Group 3) groups. ChiSquare and Kruskal-Wallis tests were used for comparison of the groups. A p value less than 0.05 was considered statistically significant. Results: Twothirds of the patients were male. The patient satisfaction was highest in the Group 3 (p<0.05). Tissue adhesive group had the lowest treatment cost (p<0.05).Discussion: In contrast to existing traditional belief, the alternative suture methods, i.e. tissue adhesives and staples are not expensive. The patient satisfaction was highest in the tissue adhesive group.

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