The use of absorbable staples for skin closure after tibial plateau leveling osteotomy
Objective To compare the use of stainless steel staples with absorbable staples for closure of skin incisions in dogs undergoing tibial plateau leveling osteotomy (TPLO). Study design Prospective study. Sample population Client‐owned dogs (n = 80). Methods With client consent, dogs were randomly ass...
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| Veröffentlicht in: | Veterinary surgery 2019-01, Vol.48 (1), p.35-41 |
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| creator | Watson, F. C. McMullan, W. Jordan, C. J. Egan, P. Tuan, J. Solano, M. A. Fizpatrick, N. |
| description | Objective
To compare the use of stainless steel staples with absorbable staples for closure of skin incisions in dogs undergoing tibial plateau leveling osteotomy (TPLO).
Study design
Prospective study.
Sample population
Client‐owned dogs (n = 80).
Methods
With client consent, dogs were randomly assigned a staple type (stainless steel or absorbable) immediately prior to closure of a TPLO skin incision. Incisions were compared for length, staple type and number, and an inflammation‐infection score 2 weeks after surgery.
Results
Overall, 18.8% of incisions were diagnosed with inflammation or infection. No difference was found between inflammation‐infection scores, incision length, number of staples used, or general anesthetic time between the 2 staple groups. However, wound closure was faster with stainless steel staples (22.50 seconds; range, 11‐180) by approximately 30 seconds compared with absorbable staples (56.50 seconds; range, 18‐190; P |
| doi_str_mv | 10.1111/vsu.13114 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2127656803</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2127656803</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3884-558aeb70515476733ecb60ab8532946ce3c6f79560cbe849496236c65e4249bf3</originalsourceid><addsrcrecordid>eNp10E1LAzEQBuAgitbqwT8gAS962JpsPjY5SvELBA-24m1J4qyupk1NdpX-e6OtHgTnMpeHl5kXoQNKRjTP6XvqR5RRyjfQgApWFlqQh000IFTSgnGtd9BuSi-EEM0520Y7jLBK0VIM0P3kGXCfAIcGG5tCtMZ6wKkzCw8JNyHi9NrOsfMh9RGwaTqIuGttazxeeNOB6bGHd_Dt_AmH1EHowmy5h7Ya4xPsr_cQTS_OJ-Or4ub28np8dlM4phQvhFAGbEUEFbySFWPgrCTGqvyE5tIBc7KptJDEWVBccy1LJp0UwEuubcOG6HiVu4jhrYfU1bM2OfDezCH0qS5pWUkhFWGZHv2hL6GP83xdVlJRpbLL6mSlXAwpRWjqRWxnJi5rSuqvsutcdv1ddraH68TezuDxV_60m8HpCny0Hpb_J9X3d9NV5Cc2zofL</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2168188568</pqid></control><display><type>article</type><title>The use of absorbable staples for skin closure after tibial plateau leveling osteotomy</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Watson, F. C. ; McMullan, W. ; Jordan, C. J. ; Egan, P. ; Tuan, J. ; Solano, M. A. ; Fizpatrick, N.</creator><creatorcontrib>Watson, F. C. ; McMullan, W. ; Jordan, C. J. ; Egan, P. ; Tuan, J. ; Solano, M. A. ; Fizpatrick, N.</creatorcontrib><description>Objective
To compare the use of stainless steel staples with absorbable staples for closure of skin incisions in dogs undergoing tibial plateau leveling osteotomy (TPLO).
Study design
Prospective study.
Sample population
Client‐owned dogs (n = 80).
Methods
With client consent, dogs were randomly assigned a staple type (stainless steel or absorbable) immediately prior to closure of a TPLO skin incision. Incisions were compared for length, staple type and number, and an inflammation‐infection score 2 weeks after surgery.
Results
Overall, 18.8% of incisions were diagnosed with inflammation or infection. No difference was found between inflammation‐infection scores, incision length, number of staples used, or general anesthetic time between the 2 staple groups. However, wound closure was faster with stainless steel staples (22.50 seconds; range, 11‐180) by approximately 30 seconds compared with absorbable staples (56.50 seconds; range, 18‐190; P < .001). Time taken to close the incision correlated negatively with the number of occasions that absorbable staples were used (P = .01).
Conclusion
Absorbable skin staples were successfully used to close skin incisions after TPLO and were not associated with an increased level of inflammation or infection in our clinical setting.
Clinical significance
Absorbable staples may be considered to close surgical wounds when subsequent suture removal would be impractical, without specific concerns over inflammation or infection of the wound.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.13114</identifier><identifier>PMID: 30378125</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Animals ; Biocompatibility ; Dog Diseases - epidemiology ; Dog Diseases - prevention & control ; Dogs ; Dogs - surgery ; Infection - epidemiology ; Infection - veterinary ; Infection Control - methods ; Infections ; Inflammation ; Inflammation - epidemiology ; Inflammation - prevention & control ; Inflammation - veterinary ; Knee ; Leveling ; Osteotomy ; Osteotomy - veterinary ; Population studies ; Random Allocation ; Skin ; Stainless steel ; Stainless steels ; Staples ; Surgery ; Surgical Stapling - instrumentation ; Surgical Stapling - veterinary ; Sutures - veterinary ; Tibia - surgery ; Wound Healing</subject><ispartof>Veterinary surgery, 2019-01, Vol.48 (1), p.35-41</ispartof><rights>2018 The American College of Veterinary Surgeons</rights><rights>2018 The American College of Veterinary Surgeons.</rights><rights>2019 The American College of Veterinary Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3884-558aeb70515476733ecb60ab8532946ce3c6f79560cbe849496236c65e4249bf3</citedby><cites>FETCH-LOGICAL-c3884-558aeb70515476733ecb60ab8532946ce3c6f79560cbe849496236c65e4249bf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.13114$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.13114$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30378125$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Watson, F. C.</creatorcontrib><creatorcontrib>McMullan, W.</creatorcontrib><creatorcontrib>Jordan, C. J.</creatorcontrib><creatorcontrib>Egan, P.</creatorcontrib><creatorcontrib>Tuan, J.</creatorcontrib><creatorcontrib>Solano, M. A.</creatorcontrib><creatorcontrib>Fizpatrick, N.</creatorcontrib><title>The use of absorbable staples for skin closure after tibial plateau leveling osteotomy</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective
To compare the use of stainless steel staples with absorbable staples for closure of skin incisions in dogs undergoing tibial plateau leveling osteotomy (TPLO).
Study design
Prospective study.
Sample population
Client‐owned dogs (n = 80).
Methods
With client consent, dogs were randomly assigned a staple type (stainless steel or absorbable) immediately prior to closure of a TPLO skin incision. Incisions were compared for length, staple type and number, and an inflammation‐infection score 2 weeks after surgery.
Results
Overall, 18.8% of incisions were diagnosed with inflammation or infection. No difference was found between inflammation‐infection scores, incision length, number of staples used, or general anesthetic time between the 2 staple groups. However, wound closure was faster with stainless steel staples (22.50 seconds; range, 11‐180) by approximately 30 seconds compared with absorbable staples (56.50 seconds; range, 18‐190; P < .001). Time taken to close the incision correlated negatively with the number of occasions that absorbable staples were used (P = .01).
Conclusion
Absorbable skin staples were successfully used to close skin incisions after TPLO and were not associated with an increased level of inflammation or infection in our clinical setting.
Clinical significance
Absorbable staples may be considered to close surgical wounds when subsequent suture removal would be impractical, without specific concerns over inflammation or infection of the wound.</description><subject>Animals</subject><subject>Biocompatibility</subject><subject>Dog Diseases - epidemiology</subject><subject>Dog Diseases - prevention & control</subject><subject>Dogs</subject><subject>Dogs - surgery</subject><subject>Infection - epidemiology</subject><subject>Infection - veterinary</subject><subject>Infection Control - methods</subject><subject>Infections</subject><subject>Inflammation</subject><subject>Inflammation - epidemiology</subject><subject>Inflammation - prevention & control</subject><subject>Inflammation - veterinary</subject><subject>Knee</subject><subject>Leveling</subject><subject>Osteotomy</subject><subject>Osteotomy - veterinary</subject><subject>Population studies</subject><subject>Random Allocation</subject><subject>Skin</subject><subject>Stainless steel</subject><subject>Stainless steels</subject><subject>Staples</subject><subject>Surgery</subject><subject>Surgical Stapling - instrumentation</subject><subject>Surgical Stapling - veterinary</subject><subject>Sutures - veterinary</subject><subject>Tibia - surgery</subject><subject>Wound Healing</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1LAzEQBuAgitbqwT8gAS962JpsPjY5SvELBA-24m1J4qyupk1NdpX-e6OtHgTnMpeHl5kXoQNKRjTP6XvqR5RRyjfQgApWFlqQh000IFTSgnGtd9BuSi-EEM0520Y7jLBK0VIM0P3kGXCfAIcGG5tCtMZ6wKkzCw8JNyHi9NrOsfMh9RGwaTqIuGttazxeeNOB6bGHd_Dt_AmH1EHowmy5h7Ya4xPsr_cQTS_OJ-Or4ub28np8dlM4phQvhFAGbEUEFbySFWPgrCTGqvyE5tIBc7KptJDEWVBccy1LJp0UwEuubcOG6HiVu4jhrYfU1bM2OfDezCH0qS5pWUkhFWGZHv2hL6GP83xdVlJRpbLL6mSlXAwpRWjqRWxnJi5rSuqvsutcdv1ddraH68TezuDxV_60m8HpCny0Hpb_J9X3d9NV5Cc2zofL</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Watson, F. C.</creator><creator>McMullan, W.</creator><creator>Jordan, C. J.</creator><creator>Egan, P.</creator><creator>Tuan, J.</creator><creator>Solano, M. A.</creator><creator>Fizpatrick, N.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>The use of absorbable staples for skin closure after tibial plateau leveling osteotomy</title><author>Watson, F. C. ; McMullan, W. ; Jordan, C. J. ; Egan, P. ; Tuan, J. ; Solano, M. A. ; Fizpatrick, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3884-558aeb70515476733ecb60ab8532946ce3c6f79560cbe849496236c65e4249bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Animals</topic><topic>Biocompatibility</topic><topic>Dog Diseases - epidemiology</topic><topic>Dog Diseases - prevention & control</topic><topic>Dogs</topic><topic>Dogs - surgery</topic><topic>Infection - epidemiology</topic><topic>Infection - veterinary</topic><topic>Infection Control - methods</topic><topic>Infections</topic><topic>Inflammation</topic><topic>Inflammation - epidemiology</topic><topic>Inflammation - prevention & control</topic><topic>Inflammation - veterinary</topic><topic>Knee</topic><topic>Leveling</topic><topic>Osteotomy</topic><topic>Osteotomy - veterinary</topic><topic>Population studies</topic><topic>Random Allocation</topic><topic>Skin</topic><topic>Stainless steel</topic><topic>Stainless steels</topic><topic>Staples</topic><topic>Surgery</topic><topic>Surgical Stapling - instrumentation</topic><topic>Surgical Stapling - veterinary</topic><topic>Sutures - veterinary</topic><topic>Tibia - surgery</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Watson, F. C.</creatorcontrib><creatorcontrib>McMullan, W.</creatorcontrib><creatorcontrib>Jordan, C. J.</creatorcontrib><creatorcontrib>Egan, P.</creatorcontrib><creatorcontrib>Tuan, J.</creatorcontrib><creatorcontrib>Solano, M. A.</creatorcontrib><creatorcontrib>Fizpatrick, N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Watson, F. C.</au><au>McMullan, W.</au><au>Jordan, C. J.</au><au>Egan, P.</au><au>Tuan, J.</au><au>Solano, M. A.</au><au>Fizpatrick, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of absorbable staples for skin closure after tibial plateau leveling osteotomy</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2019-01</date><risdate>2019</risdate><volume>48</volume><issue>1</issue><spage>35</spage><epage>41</epage><pages>35-41</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To compare the use of stainless steel staples with absorbable staples for closure of skin incisions in dogs undergoing tibial plateau leveling osteotomy (TPLO).
Study design
Prospective study.
Sample population
Client‐owned dogs (n = 80).
Methods
With client consent, dogs were randomly assigned a staple type (stainless steel or absorbable) immediately prior to closure of a TPLO skin incision. Incisions were compared for length, staple type and number, and an inflammation‐infection score 2 weeks after surgery.
Results
Overall, 18.8% of incisions were diagnosed with inflammation or infection. No difference was found between inflammation‐infection scores, incision length, number of staples used, or general anesthetic time between the 2 staple groups. However, wound closure was faster with stainless steel staples (22.50 seconds; range, 11‐180) by approximately 30 seconds compared with absorbable staples (56.50 seconds; range, 18‐190; P < .001). Time taken to close the incision correlated negatively with the number of occasions that absorbable staples were used (P = .01).
Conclusion
Absorbable skin staples were successfully used to close skin incisions after TPLO and were not associated with an increased level of inflammation or infection in our clinical setting.
Clinical significance
Absorbable staples may be considered to close surgical wounds when subsequent suture removal would be impractical, without specific concerns over inflammation or infection of the wound.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>30378125</pmid><doi>10.1111/vsu.13114</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Veterinary surgery, 2019-01, Vol.48 (1), p.35-41 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Animals Biocompatibility Dog Diseases - epidemiology Dog Diseases - prevention & control Dogs Dogs - surgery Infection - epidemiology Infection - veterinary Infection Control - methods Infections Inflammation Inflammation - epidemiology Inflammation - prevention & control Inflammation - veterinary Knee Leveling Osteotomy Osteotomy - veterinary Population studies Random Allocation Skin Stainless steel Stainless steels Staples Surgery Surgical Stapling - instrumentation Surgical Stapling - veterinary Sutures - veterinary Tibia - surgery Wound Healing |
| title | The use of absorbable staples for skin closure after tibial plateau leveling osteotomy |
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