The Benefits of Using Disposable Skin Staplers

Skin stapling as an alternative to conventional suturing in office skin surgery is evaluated. Both scalpel wounds and punch excisions can be closed with the sterile disposable instruments now available. The chief advantage is speed. Wound closure with the stapler can be accomplished in one-fifth to one-half the time required for conventional suturing. In closing face wounds in young people, fine closure with silk or nylon may provide a superior cosmetic result. The stapler is ideal for closing scalp incisions, and no postoperative dressing is required.

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Abstract

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In 12 cases of head and neck surgery, use of a disposable skin stapler (Proximate®; Ethicon) was compared with nylon sutures with respect to time required for wound closure and the cosmetic result. Time required for closure was reduced by 90% using the stapling device, and cosmetic appearance was satisfactory compared to that with nylon sutures. With regard to safety, we found that the staples were not exposed into the subcutaneous space when subcuticular suture was performed. It was concluded that stapling is satisfactory in head and neck surgery with regard to safety and cosmetic results.

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