Midwest Orthopaedics at Rush University Medical Center, Chicago, IL, US.
Department of Orthopaedic Surgery, Shamir Medical Center and Tel Aviv University, Tel Aviv, Israel.
J Wound Care. 2021 Feb 2;30(2):130-133. doi: 10.12968/jowc.2021.30.2.130.
New technologies are being developed to optimise healing of surgical incisions. BandGrip (US) is a micro-anchor skin closure device that replaces the need for subcuticular suturing and further dressing. The purpose of this study is to perform a matched cohort analysis comparing time to closure of surgical incisions between sutures and the novel skin closure device.
Patients undergoing orthopaedic surgery in 2019 underwent skin closure with either conventional sutures or the novel skin closure device. Patients were divided into three groups according to their procedural incisions: anterior cruciate ligament reconstruction (ACLR); simple arthroscopy; and general incisions. Patients who underwent closure of their surgical incision with the novel skin closure device were matched with patients undergoing superficial closure with sutures. Statistical analysis was performed to compare time to closure per centimetre of skin incision between the groups.
A total of 86 patients were included in the study. Overall mean time to closure using the novel skin closure device was less than with sutures (8.6 seconds/cm versus 42.8 seconds/cm, respectively, p<0.001). Mean time to closure for ACLR incisions was 3.7 seconds/cm using the novel skin closure device and 35.5 seconds/cm using sutures (p<0.001). Mean time to closure for simple arthroscopy portals was 19 seconds/cm using the novel skin closure device and 47.6 seconds/cm using sutures (p<0.001).
BandGrip is a novel skin closure device that allows for efficient surgical incision closure. Time to surgical skin incision closure is significantly less with the use of the novel skin closure device when compared with conventional sutures.
正在开发新技术以优化手术切口的愈合。BandGrip（美国）是一种微型锚定皮肤闭合装置，可替代皮下缝合和进一步的敷料。本研究的目的是进行匹配队列分析，比较缝线和新型皮肤闭合装置闭合手术切口的时间。
2019 年接受骨科手术的患者接受传统缝线或新型皮肤闭合装置进行皮肤闭合。根据手术切口的类型将患者分为三组：前交叉韧带重建（ACLR）；单纯关节镜检查；和一般切口。使用新型皮肤闭合装置闭合手术切口的患者与使用缝线进行浅表闭合的患者相匹配。进行统计学分析以比较每组每厘米皮肤切口闭合的时间。
共有 86 名患者纳入研究。使用新型皮肤闭合装置的总闭合时间明显短于缝线（分别为 8.6 秒/cm 和 42.8 秒/cm，p<0.001）。使用新型皮肤闭合装置闭合 ACLR 切口的平均时间为 3.7 秒/cm，使用缝线的平均时间为 35.5 秒/cm（p<0.001）。使用新型皮肤闭合装置闭合单纯关节镜入路的平均时间为 19 秒/cm，使用缝线的平均时间为 47.6 秒/cm（p<0.001）。
BandGrip 是一种新型的皮肤闭合装置，可实现高效的手术切口闭合。与传统缝线相比，新型皮肤闭合装置可显著缩短手术皮肤切口闭合的时间。
