Skin stapling of wounds in the accident department

doi:10.1016/0020-1383(89)90010-7

Injury

Volume 20, Issue 6, November 1989, Pages 347-348

https://doi.org/10.1016/0020-1383(89)90010-7 Get rights and content

Abstract

In a randomized prospective study of 100 consecutive patients presenting to the accident and emergency department with superficial lacerations, staples and sutures wert compared for skin closure. Acceptability of the methods by staff and patients, and end results were similar. Staples were more expensive than sutures, but were significantly quicker, simpler to use and safer. They are, therefore, particularly suitable for use in a busy accident and emergency department.

References (4)

C.F. Harvey
A prospective trial of skin staples and sutures in skin closure
Ir. J. Med. Sci.
(1986)
T.T. Irvin
Simple skin closure
Br. J. Hosp. Med.
(1985)

There are more references available in the full text version of this article.

Cited by (16)

Natural fiber reinforced biodegradable staples: Novel approach for efficient wound closure
2019, Medical Hypotheses
Citation Excerpt :
PLLA is the lower crystalline form and it has been used for various biomedical applications such as implant materials, sutures and drug delivery due to its good biocompatibility and biodegradability. Although the PLLA has good mechanical strength, but its brittleness limits its application for high tension applications to hold the stress for longer time intervals [34–38]. The polymer is soluble in organic solvents like benzene, chloroform, and acetonitrile etc.
Every year millions of lacerations and incisions taken place and require an effective methodology to manage the wound for a better life. The primary causes include mechanical trauma and surgical procedures. The rapid healing of the wound is critical to prevent further infection and reduction pain etc. Current options comprise of sutures, staplers, surgical strips and glues, again the intervention depends on the type of wound and the surgeon preference. The current wound closure techniques pose various potent limitations and confronting the problems to create a desired wound closure technique is necessary for faster and effective wound healing management. The surgical staplers are fast and easy to use wound closure devices, which approximates the edges of the wounds together by staples. The staples are mostly made up of metals like titanium and stainless steel. By modifying the existing stapling method using biodegradable staples that are expected to have good mechanical properties, not require removal procedure, minimized scarring and an overall acceleration in wound healing with minimal complications. Present, the paper focuses on the novel hypothesis on natural fiber reinforced biodegradable polymer staples as wound enclosures with high strength and degradability.
Pediatric scalp laceration repair complicated by skin staple migration
1999, American Journal of Emergency Medicine
Skin staples are ideal for pediatric scalp laceration closure because of their rapidity of placement and economy and ease of use. We report two cases of rotatory staple migration necessitating improvised removal techniques. Clinicians should be alert for this complication, which may result from a combination of staple design, local anatomic factors, superfical placement, and prolonged delay prior to removal.
Surgical staple trial in accident and emergency
1997, Accident and Emergency Nursing
A trial was undertaken at the John Radcliffe Hospital, Oxford to establish if surgical staples were a viable alternative to traditional sutures in wound closure. The trial involved a sample of trained nursing staff using staples in the closure of simple skin lacerations presented at the Accident and Emergency (A & E) department. A questionnaire collected subjective and objective information from staff and patients relating to insertion and removal of the staples. Although there was no comparative data available for sutured wounds, the results indicated that staff were satifistied with the stapler's ease and speed of use. It was concluded that stapling was a viable addition to the choice of skin closure technique, rather than an alternative.
Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations: A randomized study of cost and time benefits
1997, Journal of Pediatrics
Objective: To compare the total costs and the physician time requirements for suture and staple repair of pediatric scalp lacerations.
Study design: Eighty-eight children, 13 months to 16 years of age, coming to a children's hospital emergency department with simple scalp lacerations were prospectively randomly selected to receive staple or suture repair. Wound lengths, times required for initial wound care and closure, and equipment use were recorded. Patients returned in 1 week for suture or staple removal and wound reevaluation. The two methods were compared in terms of both time expended and costs of equipment and physician compensation.
Results: Forty-five children underwent staple repair and 43 underwent suture repair. There were no differences in age, sex, wound length, number of sutures or staples per centimeter, or physician experience. Stapling resulted in shorter wound closure times (65 vs 397 seconds; p<0.0001) and shorter overall times for wound care and closure (395 vs 752 seconds; p<0.0001). Staple repair was less expensive in terms of equipment ($12.55 vs $17.59; p<0.0001) and total cost based on equipment and physician time ($23.55 vs $38.51; p<0.0001). The follow-up rate was 91%, with no cosmetic or infectious complications in either group.
Conclusions: Stapling is faster and less expensive than suturing in the repair of uncomplicated pediatric scalp lacerations, with no additional complications. Physicians who treat children with scalp lacerations should consider the use of stapling devices.
Bioadhesives with Antimicrobial Properties
2023, Advanced Materials
Surgical wound closure by staples or sutures?: Systematic review
2020, Medicine (United States)

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PaperSkin stapling of wounds in the accident department

Abstract

A prospective trial of skin staples and sutures in skin closure

Ir. J. Med. Sci.

Simple skin closure

Br. J. Hosp. Med.

Paper
Skin stapling of wounds in the accident department