Comparison of wound closure techniques in median sternotomy scars in children: subcuticular suture versus Steri-Strip™ S

2019 ◽  
Vol 53 (3) ◽  
pp. 161-166
Author(s):  
Annekatrien L. van de Kar ◽  
David R. Koolbergen ◽  
Janne P. H. van Avendonk ◽  
Chantal M. A. M. van der Horst
2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Rukiyat Adeola Abdus-Salam ◽  
Folasade Adenike Bello ◽  
Oladapo Olayemi

This study aimed to compare patients’ satisfaction and outcome of caesarean section wound closure by skin staples and subcuticular suture at discharge and 6 weeks of postoperation. It was a randomized controlled trial of pregnant women scheduled for caesarean section at the University College Hospital, Ibadan, Nigeria, allocating them to wound closure by skin staples or subcuticular suture. Pain was assessed using the box numeric pain scale. Scar assessments were by patient, research nurse, and independent observers using the visual analogue scale, modified patient observer scar assessment scale, and patient satisfaction scale. Operation time (minutes) was significantly shorter in the staple group, 40.26 (±16.53) compared to 47.55 (±14.55) in the suture group (P=0.025). Skin closure time (seconds) was significantly less in the staple group, 118.62 (±69.68) versus 388.70 (±170.40) in the suture group (P≤0.001). There was no difference in pain experienced, wound assessment by the participants, and patients’ satisfaction. Participants in the staple group scored higher on both scar assessment scales by the nurse (P=0.044). Cost comparison analysis showed that staple use costs significantly more than suture use (P<0.001). The perceived benefit of subcuticular suture over skin staples was not observed and participants were satisfied with both wound closure techniques.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Christian Asher ◽  
Ibrahim Ibrahim ◽  
Eyfrossini Katsarma

Abstract Introduction COVID-19 has had an unprecedented effect on surgical training, including prerequisite entry-level courses to speciality training. We describe the implementation of a virtual, one-to-one training programme aimed at the acquisition and retention of operative skills. Methods Enrolment commenced 8th May 2020 for wound closure techniques or an extended programme including tendon repairs, delivered by Specialist Registrars in Plastic Surgery using Zoom® (v. 5.0.5) via mobile device. Participant feedback was collected retrospectively using a 5-point scale following course completion. Results 5 participants completed the wound closure programme, and 3 the extended programme, over an average of 5 weeks, with 2 sessions per week. 5 participants were male, 3 female and were of the following grades: 2 CT2, 4 FY2, 1 FY1 and 1 medical student. A total of 103.5 hours of training was recorded to 7 September 2020. Participants reported that all virtual skills taught were readily transferable to the theatre environment. Following the course, all participants felt confident to complete the skills learnt independently, rating the course as excellent. Conclusions The COVID-19 crisis has placed insurmountable obstacles in the face of surgical training. With further validation, we aim to develop surgical skills training with virtual, easily reproducible, cost-effective, trainee centred programmes.


2018 ◽  
Vol 45 (5) ◽  
pp. 809-814 ◽  
Author(s):  
Hannah Rachel Bussell ◽  
Christoph Alexander Aufdenblatten ◽  
Corina Gruenenfelder ◽  
Stefan Altermatt ◽  
Sasha Job Tharakan

1995 ◽  
Vol 35 (5) ◽  
pp. 485-491 ◽  
Author(s):  
Krishna Narayanan ◽  
J William Futrell ◽  
Michael Bentz ◽  
Dennis Hurwitz

2016 ◽  
Vol 13 (3) ◽  
pp. 115 ◽  
Author(s):  
VinayV Rao ◽  
Caren D′Souza ◽  
Saurabh Kumar ◽  
Ashwin Kumar

1998 ◽  
Vol 16 (4) ◽  
pp. 651-654 ◽  
Author(s):  
David D. Drake ◽  
Rodney P. Lewis ◽  
Jeremy Schweitzer ◽  
Julia A. Woods ◽  
Mary J. Cox ◽  
...  

2003 ◽  
Vol 117 (1) ◽  
pp. 67-68 ◽  
Author(s):  
R. K. Bhalla ◽  
T. H. J. Lesser

Endaural incisions provide a cosmetic approach to the middle-ear cleft, tympanic membrane for myringoplasty, and attic and antrum for small cavity mastoidectomy. These wounds have traditionally been closed with sutures, but platelet or fibrin adhesives provide an alternative. However, discomfort at the time of suture removal, particularly in children, and the risk of transmission of blood-borne infections in gels are limitations to these wound closure techniques. This paper describes our experience with Histoacryl® glue (butyl-2-cyanoacrylate) in closing endaural incisions.


1996 ◽  
Vol 12 (2) ◽  
pp. 195-205
Author(s):  
Christopher E. Kawcak ◽  
Gary M. Baxter

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