Islamic International Medical College, Rawalpindi, Pakistan.
Neurosurg Rev. 2024 Sep 5;47(1):546. doi: 10.1007/s10143-024-02789-z.
This study evaluates contemporary wound closure techniques in spinal surgery, focusing on the efficacy of barbed sutures, skin staples, and negative-pressure wound therapy (NPWT), compared to traditional methods. Barbed sutures, like STRATAFIX™ Symmetric, and skin staples demonstrate significant advantages, including reduced wound closure time, lower infection rates, and improved surgical outcomes, particularly in multilevel or revisional procedures. In contrast, plastic surgery closures do not show a substantial reduction in postoperative complications despite being used in more complex cases. NPWT is highlighted as an effective adjunct therapy for managing surgical site infections and reducing the need for hardware removal. The findings suggest that while modern techniques offer clear benefits, traditional methods remain valuable in specific contexts. The review advocates for further research through large-scale, long-term studies and emphasizes the need for personalized wound closure strategies based on individual patient risk factors.
本研究评估了脊柱外科中当代的伤口闭合技术，重点比较了带倒刺缝线、皮肤钉和负压伤口治疗（NPWT）与传统方法相比的疗效。带倒刺缝线，如 STRATAFIX™ Symmetric，和皮肤钉具有显著的优势，包括缩短伤口闭合时间、降低感染率和改善手术结果，特别是在多节段或翻修手术中。相比之下，尽管在更复杂的病例中使用，但皮内缝合在减少术后并发症方面并没有显著降低。NPWT 被强调为一种有效的辅助治疗方法，可用于治疗手术部位感染并减少需要去除硬件的情况。研究结果表明，虽然现代技术具有明显的优势，但传统方法在特定情况下仍然具有价值。该综述主张通过大规模、长期研究进一步研究，并强调需要根据个体患者的风险因素制定个性化的伤口闭合策略。
