Bron Thierry, Zakine Gilbert
Drs Bron and Zakine are plastic surgeons in private practice in Paris, France.
Aesthet Surg J. 2016 Apr;36(4):459-68. doi: 10.1093/asj/sjv224. Epub 2015 Nov 3.
The duration to close an incision is an important consideration in plastic surgery. The placement of Insorb absorbable subcuticular staples (Insorb, Incisive Surgical, Plymouth, MN) may allow for a decreased closure time compared with other modalities.
The authors evaluated the utility of Insorb staples for the closure of mammaplasty and abdominoplasty incisions.
Sixty patients who underwent anterior abdominal dermatolipectomy, total circular abdominal dermatolipectomy, bilateral breast reduction, or bilateral mastopexy were evaluated in a prospective study. Dermal closure was achieved on 1 side of each patient with Insorb absorbable staples and on the other with absorbable monofilament sutures. Scar quality, pruritus, and pain were scored according to a modified Vancouver Scar Scale (mVSS) at 1, 6, and 12 months postoperatively.
Closure with absorbable staples was approximately 7-fold faster than closure with absorbable sutures for all surgical procedures. No significant differences in mVSS scores were noted between incisions closed with staples vs sutures.
Absorbable staples enable faster closure of a surgical incision without compromising scar quality or patient comfort.
3 Therapeutic.
在整形外科手术中，切口闭合的时长是一个重要的考量因素。与其他方式相比，使用Insorb可吸收皮下缝合钉（Insorb，Incisive Surgical公司，明尼苏达州普利茅斯市）进行缝合可能会缩短闭合时间。
作者评估了Insorb缝合钉在乳房整形术和腹部整形术切口闭合中的效用。
在一项前瞻性研究中，对60例行前腹壁皮肤切除术、全环形腹壁皮肤切除术、双侧乳房缩小术或双侧乳房上提术的患者进行了评估。每位患者一侧切口使用Insorb可吸收缝合钉进行真皮层闭合，另一侧使用可吸收单丝缝线进行闭合。术后1个月、6个月和12个月，根据改良温哥华瘢痕量表（mVSS）对瘢痕质量、瘙痒和疼痛进行评分。
在所有手术中，使用可吸收缝合钉进行闭合比使用可吸收缝线快约7倍。使用缝合钉闭合的切口与使用缝线闭合的切口在mVSS评分上没有显著差异。
可吸收缝合钉能够更快地闭合手术切口，且不影响瘢痕质量或患者舒适度。
3级治疗性。
