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Journal of Long-Term Effects of Medical Implants
Главный редактор: Subrata Saha (open in a new tab)

Выходит 4 номеров в год

ISSN Печать: 1050-6934

ISSN Онлайн: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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The Influence of Absorbable Subcuticular Staples, Continuous Subcuticular Absorbable Suture, and Percutaneous Metal Skin Staples on Infection in Contaminated Wounds

Том 22, Выпуск 2, 2012, pp. 145-155
DOI: 10.1615/JLongTermEffMedImplants.v22.i2.50
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Краткое описание

Wound infection is a threatening, troublesome, and costly complication contributing to increased mortality and morbidity. The methods and materials used to close a wound significantly influence the quality of the repair process and the risk of surgical site infection. Six pigs were used to evaluate the influence of four separate skin-closure modalities on the potentiation of infection in contaminated wounds. Full-thickness skin wounds on the abdomen were contaminated with S. aureus and then closed with one of four devices: a novel absorbable staple (InsorbTM) placed in the subcuticular tissue; a braided absorbable suture (VicrylTM); a monofilament absorbable suture (MonocrylTM); percutaneous metal staples. Wound infection was assessed 7 days after closure by clinical signs and quantitative bacterial swabs. InsorbTM staples had significantly lower infection rates than continuous VicrylTM (39% vs. 100%, p=0.002) or MonocrylTM suture (39% vs. 89%, p=0.014). The InsorbTM subcuticular staple and the metal percutaneous skin staple were statistically equivalent in wound infection rate and parameters of inflammation. The combined data for both interrupted staple modalities documented less inflammation compared to the combined data for continuous sutures. These lower levels of inflammatory metrics were statistically significant for edema (p=0.018), gauze exudate observed (p=0.007) and purulent exudate in wound (p<0.0001). In conclusion, InsorbTM staples were shown to be an acceptable choice for the closure of contaminated wounds because they had a significantly lower incidence of wound infection and inflammation when compared to continuous intradermal suture.

ЦИТИРОВАНО В
  1. Walsh Karl, Hili Stephanie, Gilbert Philip, Erroneous terminology for an intradermal suture, Journal of Plastic, Reconstructive & Aesthetic Surgery, 66, 10, 2013. Crossref

  2. Schrufer-Poland Tabitha L., Ruiz Maria P., Kassar Samuel, Tomassian Christopher, Algren Stacey D., Yeast John D., Incidence of wound complications in cesarean deliveries following closure with absorbable subcuticular staples versus conventional skin closure techniques, European Journal of Obstetrics & Gynecology and Reproductive Biology, 206, 2016. Crossref

  3. Watson F. C., McMullan W., Jordan C. J., Egan P., Tuan J., Solano M. A., Fizpatrick N., The use of absorbable staples for skin closure after tibial plateau leveling osteotomy, Veterinary Surgery, 48, 1, 2019. Crossref

  4. Lee James C., Ishtihar Sherene, Means Jessica J., Wu June, Rohde Christine H., In Search of an Ideal Closure Method, Plastic and Reconstructive Surgery, 142, 4, 2018. Crossref

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