Safa Bauback, Belson Amir, Meschter Carol, Kelley Michelle, Stewart Daren, Ichiryu Kei, Biroc Sandra, Storne Eric
The Buncke Clinic, CPMC, San Francisco, USA.
ZipLine Medical, Inc., Campbell, USA.
Cureus. 2018 Aug 4;10(8):e3102. doi: 10.7759/cureus.3102.
There remains a lack of understanding of how wound closure methods perform comparatively when exposed to patient-induced movement during healing and how they may contribute to bacterial infiltration in the wound site. The present study attempts to objectively quantify this gap. The study evaluates bacterial penetration and subsequent symptoms of infection of traditional sutures and an emerging tape-based, zip-type wound closure technology under physiologically relevant loading. In an in vivo model to simulate real-world conditions, the latter demonstrates better performance compared to commonly used sutures, holding the wound intact and minimizing bacterial penetration when subjected to simulated patient movement-induced stress.
对于伤口闭合方法在愈合过程中受到患者活动影响时的相对表现,以及它们如何导致伤口部位细菌侵入,目前仍缺乏了解。本研究试图客观地量化这一差距。该研究评估了在生理相关负荷下,传统缝线和一种新兴的基于胶带的拉链式伤口闭合技术的细菌穿透情况及后续感染症状。在一个模拟现实世界情况的体内模型中,与常用缝线相比,后者表现出更好的性能,在受到模拟患者活动引起的应力时能保持伤口完整并使细菌穿透最小化。