Key factors surgeons should consider in selecting an epidermal closure method are the ability to:
1. Achieve effective closure strength and provide microbial barrier protection, and
2. Close the incision in a quick and timely manner that optimizes O.R. room and clinician time.
By selecting a closure method that has demonstrated good wound burst strength, tensile and lap
shear strength, dehiscence can be avoided. Topical skin adhesives (such as Cardinal Health™
LiquiBand® OCTYL Topical Skin Adhesive) provide the closure strength required while also creating
an effective microbial barrier that still provides visibility to the incision. The ability to close in a quick, timely manner is a
crucial factor in today’s economic environment where operating room time can be expensive. Topical Skin Adhesives
offer dry times within several minutes, an advantage over alternative methods.
The differences can be difficult to distinguish with a variety of wound closure methods available on the market. To help isolate why
different methods are effective and how they work, Surgical Products connected with industry leaders to answer one question:
What are two key factors surgeons should remember when selecting an epidermal closure method?
Historically, surgeons have chosen wound closure methods based on habit and training back-
ground. But innovative tools that improve operating room efficiency and patient outcomes can help
them more effectively treat evolving patient populations, and manage quality and costs. Choosing
the right wound closure device
can improve efficacy depending
on tissue type and patient. STRATAFIX™ Knotless Tissue
Control Devices transform wound closure by provid-
ing a combination of more consistency, more security
and more efficiency compared to traditional sutures.
The unique anchor design provides multiple points of
fixation along the suture line, enabling surgeons to easily
manage tension and control approximation with each
pass. With greater strength and security, STRATAFIX™
Devices can close wounds substantially faster than using
an interrupted suturing technique with traditional sutures.
The addition of Plus antibacterial coating prevents
bacterial colonization of the suture by pathogens that are
commonly associated with surgical site infections.
The two most important decisions
that surgeons must make are:
1. To properly prepare the
wound by relieving tension in
2. To select the skin closure
modality that delivers secure approximation with
minimal trauma (“approximation, not strangulation”)
and wound eversion. “Because scars tend to retract
over time, eversion of the wound edges at the time of
closure promotes less prominent scarring.” –
(T Zuber, MD, American Family Physician) In some
areas of the body, a subcuticular, interrupted closure
modality (vs. a subcuticular continuous running
modality) may allow for natural physiologic drainage
resulting in improved healing and a reduction in
wound complications including hematomas, seromas
and surgical site infections.
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