Comparison of the wound healing and complications of zipper type closure adhesive tape and stapler for surgical wound suture: A randomized control, single-centre, open-label trial.

Autor: Jung G; Department of Urology, Hanyang University College of Medicine, Seoul, Korea., Song SH; Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea., Kim BR; Department of Dermatology, Seoul National University Bundang Hospital, Seongnam, Korea.; Department of Dermatology, Seoul National University College of Medicine, Seoul, Korea., Shin JM; Department of Dermatology, Seoul National University Bundang Hospital, Seongnam, Korea., Huh CH; Department of Dermatology, Seoul National University Bundang Hospital, Seongnam, Korea.; Department of Dermatology, Seoul National University College of Medicine, Seoul, Korea., Lee S; Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea.; Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
Jazyk: angličtina
Zdroj: International wound journal [Int Wound J] 2024 Jul; Vol. 21 (7), pp. e70004.
DOI: 10.1111/iwj.70004
Abstrakt: Xkin closure is a newly developed medical suture device for lacerations and surgical wounds that can reduce scarring, pain and the risk of infection compared with conventional sutures or staplers. A randomized controlled study was performed to compare the wound healing effects and complications of Xkin closure with stapler closure. Fifty patients who underwent robot-assisted radical prostatectomy for prostate cancer were randomly assigned. Only the wound above the navel, which was extended to take out the prostate was targeted. The wound was examined at 2, 6 and 12 weeks after surgery, and the modified Vancouver Scar Scale (mVSS), scar height and side effects were assessed with a 3D skin analyser. Forty-six patients (23 Xkin, 23 Stapler) were analysed. The mVSS scores, vascularity and pliability were significantly lower in the Xkin group compared with the stapler group at the 12-week follow-up. No significant differences in the maximum peak and depth of the scars were detected between the two groups using 3D photographs at 12 weeks. Xkin is an effective wound closure method for improving scar outcomes. This method is expected to be widely used for surgical wounds and lacerations caused by trauma in daily life.
(© 2024 The Author(s). International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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