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Journal of Long-Term Effects of Medical Implants
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v11.i12.80
9 pages

Revolutionary Advances in Skin Stapling: A Collective Review

Richard Edlich
Legacy Verified Level I Shock Trauma Center Pediatrics and Adults, Legacy Emanual Hospital; and Plastic Surgery, Biomedical Engineering and Emergency Medicine, University of Virginia Health System, USA
Charles R. Woodard
Eastern Virginia Medical School, Norfolk; Department of Plastic Surgery, Box 800376, University of Virginia Health Systems, Charlottesville, Virginia, USA
George T. Rodeheaver
Plastic Surgery Research Program, Department of Plastic Surgery, University of Virginia Health System, Charlottesville, VA, USA


The purpose of this article is to provide a collective review of the literature on skin staplers. On the basis of this review, the Auto Suture Multifire Premium™, with its regular and wide metal staples, is recommended for skin closure. The Auto Suture Multifire Graftac-S™ is ideally suited for skin-graft fixation, because it delivers an absorbable staple that usually does not have to be removed from the healing graft. Dermal skin closure can now be achieved using the Auto Suture SQS-20™, which coapts the cut dermal edges with an absorbable straight pin. Dermal wound approximation can be accomplished in significantly less time than dermal suture closure.