Faster incision closure times found with micro-anchor skin closure device vs sutures
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A micro-anchor skin closure device [BandGrip] produces significantly faster orthopedic incision closure times than sutures, according to published results.
To assess the efficacy and efficiency of BandGrip micro-anchor skin closures vs. sutures, Ron Gilat, MD, and Brian Cole, MD, from Rush University Medical Center in Chicago analyzed 86 patients who underwent orthopedic surgery. Researchers categorized patients into three groups based on their incisions: ACL reconstruction, simple arthroscopy and general incisions. Patients who received closures with the novel device were matched with an equal number of patients who received sutures. The average length of all incisions was 5.7 cm. All candidates were cared for under the same surgeon and surgical time was taken with a stopwatch.
Researchers found overall mean closure time for the novel skin closure device group was 8.6 seconds/cm compared with 42.8 seconds/cm for the suture group. Specifically, the ACL reconstruction incisions took 3.7 seconds/cm with the novel device vs. to 35.5 seconds/cm with sutures. The arthroscopy portals took 19 seconds/cm with the novel device compared with 47.6 seconds/cm with the sutures.
The timing of the closure device or suture removal was not analyzed in this study, however, the researchers stated the estimated time for removal was also faster with the novel device.
“The use of the novel skin closure device reduces the use of needle suturing and thus minimizes trauma and ischemia to the wound margins and limits the intraoperative risk of perforation of the surgeon’s glove,” they wrote. “While using novel closure technologies, surgeons may decrease skin closure time associated with the use of conventional sutures by up to 75%, and also avoid relying on their expertise to secure suture loops and knots. Such novel technologies have also demonstrated shorter removal times when compared with sutures,” the researched added.
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