A novel zipper device versus sutures for wound closure after surgery: a systematic review and meta‐analysis
| Autor: | Wei Wang, Chengxin Xie, Chenglong Wang, Dong Yin, Cheng-Qiang Yu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Zipper Dermatology Cochrane Library 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Suture (anatomy) Surgical Wound Dehiscence Humans Surgical Wound Infection Medicine 030212 general & internal medicine Sutures Wound Closure Techniques business.industry Wound dehiscence Significant difference Cosmesis Original Articles medicine.disease Surgery Surgical Procedures Operative Meta-analysis Wound closure business |
| Zdroj: | Int Wound J |
| ISSN: | 1742-481X 1742-4801 |
| Popis: | We performed an updated meta-analysis to compare the efficacy of the zipper device and sutures for wound closure after surgery. A computerised literature search was performed for published trials in PubMed, Web of Science, the Cochrane Library, and Google Scholar. Two reviewers independently scrutinised the trials, extracted data, and assessed the quality of trials. The primary outcome was surgical site infections (SSI). The secondary outcomes were wound dehiscence, total wound complications, wound closure time, and scar score. Statistical analysis was performed in the Stata 12.0. Of the 130 citations, eight trials (1207 participants) met eligibility criteria and were included. The zipper device achieved a lower SSI rate (RR: 0.63, [95% CI: 0.41-0.96, P = 0.032]), a shorter wound closure time (SMD: -8.53 [95% CI: -11.93 to -5.13, P = 0.000]) and a better scar score (SMD: 0.42 [95% CI: 0.22-0.62, P = 0.000]) than sutures. No significant difference was shown in the incidence of wound dehiscence and total wound complications. Therefore, the zipper device provides the advantages of anti-infection, time-saving, and cosmesis for wound closure. |
| Databáze: | OpenAIRE |
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