The Absorbable Dermal Staple Device: A Faster, More Cost-Effective Method for Incisional Closure

Cross, Kevin J.; Teo, Esther H.; Wong, Shannon L.; Lambe, J.; Rohde, Christine; Grant, Robert T.; Ascherman, Jeffrey A.

doi:10.1097/prs.0b013e3181a805c5

Cited by 45 publications

(48 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The applicability seems to be more rapid compared to dermal sutures [3,[10][11][12]. Despite training of our vascular team, we did not find a shorter OR-duration in our intervention group.…”

Section: Discussioncontrasting

confidence: 45%

“…These surgical sites were infected in a deeper layer. At skin-level the absorbable staples do not increase the amount of fibroblast proliferation, inflammation, or collagen deposition compared to dermal sutures [10]. SSI's were not caused by the absorbable staples, but infection followed the dehiscence of the wound.…”

mentioning

confidence: 90%

“…Especially patients with skin thinning, such as elderly, are inappropriate candidates [10]. The strength was a problem larger than the drainage of fluids.…”

mentioning

confidence: 99%

See 2 more Smart Citations

First Application of an Absorbable Skin Stapler in Peripheral Vascular Surgical Procedures

Bp¹,

Korte²,

B³

et al. 2017

J Aesthet Reconstr Surg

View full text Add to dashboard Cite

Objective: Appropriate skin closure is essential and several techniques are available such as dermal sutures and metal staples. Absorbable staples have promising qualities. Our aim was to lower the Surgical Site Infection (SSI) rate with the use of subcuticular absorbable skin (Insorb™) staples. Design and patients:A long-term (IDEAL) phase 4 historical comparative effectiveness trial was performed during a 2-year period from December 2012 to December 2014 in patients undergoing an infra-inguinal femoro-popliteal bypass operation. We compared closure of the skin by means of absorbable stapler with a cohort of patients treated with intracutaneous sutures. Primary outcome: Number of SSI's. Secondary outcome: Other complications, duration of surgery and hospital length of stay.Results: 44 patients were enrolled in the study; 6 patients underwent skin closure with the absorbable staples. 4 of them had an SSI. Of 38 patients treated with intracutaneous sutures 7 had an SSI (risk difference: 0.48, 95% CI 0.09-0.88). Duration of surgery (p=0.84) and length of stay (p=0.15) were similar. Conclusion:Due to a large proportion of SSI's in the absorbable stapler group the use of these subcuticular staples was discontinued in our facility. We consider the absorbable staples not strong enough for wound closure in peripheral vascular surgery.

show abstract

Section: Discussioncontrasting

confidence: 45%

mentioning

confidence: 90%

See 1 more Smart Citation

First Application of an Absorbable Skin Stapler in Peripheral Vascular Surgical Procedures

Bp¹,

Korte²,

B³

et al. 2017

J Aesthet Reconstr Surg

View full text Add to dashboard Cite

show abstract

“…26, 50–51, 54 Compared to SCC in whites, these are more often associated with scarring, trauma, or inflammation. 24, 26, 50, 53, 55–56 Such potentially preventable SCCs are more aggressive, with substantially greater mortality (approximately 20 to 30%). 26, 50, 53 …”

Section: Discussionmentioning

confidence: 99%

Skin cancer risk perceptions: A comparison across ethnicity, age, education, gender, and income

Buster

You

Fouad

et al. 2012

Journal of the American Academy of Dermatology

116

View full text Add to dashboard Cite

Background Studies of non-cutaneous and cutaneous malignancies support the hypothesis that poor risk-perception status contributes to health disparity. Objective We evaluated skin cancer risk perceptions across race and other demographic markers using the Health Information National Trends Survey (HINTS) and compared them to discover differences in perception that may contribute to the disparities in skin cancer diagnosis and treatment. Methods Respondents with no prior history of skin cancer were randomly selected to answer questions assessing perceived risk and knowledge of preventive strategies of skin cancer. Logistic regression was performed to identify associations between perceptions of skin cancer and demographic variables including self-described race, age, sex, education, income, and health insurance status. Results Blacks, the elderly, and people with less education perceived themselves as at lower risk of developing skin cancer. They, along with Hispanics, were also more likely to believe that one cannot lower their skin cancer risk and that there are so many different recommendations on how to prevent skin cancer that it makes it difficult to know which ones to follow. Lower education also correlated with greater reluctance to have a skin exam. Limitations HINTS is a cross-sectional instrument, thus it only provides a snapshot of skin cancer perceptions. Conclusion Uncertainty and altered perceptions are more common in the skin cancer risk perceptions of ethnic minorities, the elderly, and those with less education. These are the same groups that are subject to disparities in skin cancer outcomes. Educational programs directed at these demographic groups may help to reduce the skin cancer-related health disparities.

show abstract

“…51 The INSORB stapler allows surgeons to place absorbable staples to reapproximate the dermis, and avoids the use of suture needles. 52 Although adopting novel techniques is expensive and requires additional learning, these efforts are important in order to introduce sharps alternative that help surgeons to operate in a safer, more efficient manner.…”

Section: Strategies For Preventionmentioning

confidence: 99%

Sharps Injuries

Waljee

Malay

Chung

2013

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Surgeons are at risk for injury in the operating room daily. Despite the ubiquity of occupational hazards, injuries remain prevalent and expensive. Although occupational hazards can include musculoskeletal conditions, psychosocial stress, radiation exposure, and the risk of communicable diseases, sharps injuries remain the most common among surgeons in practice and the most frequent route of transmission of blood-borne pathogens. Therefore, increased attention to the health, economical, personal and social implications of these injuries is essential for appropriate management and future prevention.

show abstract

The Absorbable Dermal Staple Device: A Faster, More Cost-Effective Method for Incisional Closure

Abstract: Closure using the absorbable dermal stapler can be performed significantly faster than standard suture closure techniques, allowing for a more cost-effective incisional closure with equivalent cosmetic results.

Cited by 45 publications

References 8 publications

First Application of an Absorbable Skin Stapler in Peripheral Vascular Surgical Procedures

First Application of an Absorbable Skin Stapler in Peripheral Vascular Surgical Procedures

Skin cancer risk perceptions: A comparison across ethnicity, age, education, gender, and income

Sharps Injuries

Contact Info

Product

Resources

About