Prospective study using skin staplers in head and neck surgery.

Abstract:

BACKGROUND:A prospective trial was undertaken to investigate the advantages and disadvantages of stapled skin closure versus conventional nylon sutures in head and neck surgery. PATIENTS AND METHODS:The study included 20 consecutive patients who underwent extensive surgery in which their skin was closed with staples. Another group of 20 matched patients receiving a noncontinuous nylon suture closure was followed in parallel. RESULTS:The complications recorded occurred in 5 patients in the stapled group and 3 in the sutured group. Analysis of cosmetic results showed 16 patients (80%) in the stapled group with good wound appearance and 17 (85%) in the sutured group. The mean closure time was 5 minutes for the stapled group and 25 minutes for the sutured group. Cost was $19.75 for conventional closure and $22.00 for mechanical suture. CONCLUSION:The use of skin staples speeds up closure time by 80%, yields similar cosmetic results with no increase in complications, although at a slightly higher cost.

journal_name

Am J Surg

authors

dos Santos LR,Freitas CA,Hojaij FC,Araújo Filho VJ,Cernea CR,Brandão LG,Ferraz AR

doi

10.1016/s0002-9610(99)80327-4

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

451-2

issue

5

eissn

0002-9610

issn

1879-1883

pii

S0002961099803274

journal_volume

170

pub_type

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