Gatt D, Quick C R, Owen-Smith M S
Ann R Coll Surg Engl. 1985 Sep;67(5):318-20.
Skin staples were compared with two conventional suture methods for speed, convenience, effectiveness and cost. One hundred and ninety-five patients having linear abdominal incisions were randomly allocated to one of three methods of interrupted skin closure--polypropylene sutures, polyglactin sutures or stainless steel staples and the wounds were assessed over 30 days. The mean rate of wound closure using sutures was 4.2 cm per minute while staples were faster at 22.5 cm per minute and saved an average of three minutes per wound. The time saved was considerably greater with long incisions. Staples cost 50p more per 15 cm wound than either suture. In other respects the three methods were comparable except that polyglactin caused the least wound pain. We believe the advantages of speed and convenience of skin staples outweigh the extra cost, provided the disposable instruments are reused until empty.
将皮肤吻合钉与两种传统缝合方法在速度、便利性、有效性和成本方面进行了比较。195例有腹部直线切口的患者被随机分配到三种间断皮肤缝合方法之一——聚丙烯缝线、聚乙醇酸缝线或不锈钢吻合钉，并在30天内对伤口进行评估。使用缝线的平均伤口闭合速度为每分钟4.2厘米，而吻合钉更快，为每分钟22.5厘米，每个伤口平均节省3分钟。长切口节省的时间要多得多。每15厘米伤口，吻合钉比任何一种缝线贵50便士。在其他方面，三种方法相当，只是聚乙醇酸引起的伤口疼痛最轻。我们认为，只要一次性器械能一直使用到用完，皮肤吻合钉在速度和便利性方面的优势就超过了额外的成本。
