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Enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device

BACKGROUND AND AIMS: The purpose of this investigation was to test the hypothesis that a novel adhesive retention suture device (ARSD) can increase perfusion at elliptical wound closures by distributing stress away from the suture site. METHODS: Stress in the skin around a suture both with and witho...

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Autores principales: Stoecker, Allison, Lear, William, Johnson, Karsten, Bahm, Jared, Kruzic, Jamie J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8439428/
https://www.ncbi.nlm.nih.gov/pubmed/34541331
http://dx.doi.org/10.1002/hsr2.364
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author Stoecker, Allison
Lear, William
Johnson, Karsten
Bahm, Jared
Kruzic, Jamie J.
author_facet Stoecker, Allison
Lear, William
Johnson, Karsten
Bahm, Jared
Kruzic, Jamie J.
author_sort Stoecker, Allison
collection PubMed
description BACKGROUND AND AIMS: The purpose of this investigation was to test the hypothesis that a novel adhesive retention suture device (ARSD) can increase perfusion at elliptical wound closures by distributing stress away from the suture site. METHODS: Stress in the skin around a suture both with and without support from an ARSD was evaluated using a finite element model. A single‐center, randomized split‐scar comparison trial using laser speckle contrast analysis was used to quantify the perfusion at elliptical wound closures in human patients both with and without an ARSD. RESULTS: The finite element model revealed that the ARSD promoted load transfer to the skin over a larger area, thus reducing the local stress and deformation in the skin around the suture site. Results from the split‐scar study showed a mean improvement of 25% perfusion units with the ARSD, and the improvement was statistically significant (p = 0.002). CONCLUSION: The reduction in local stress and enhanced perfusion around the suture site reveals the potential benefit of using an ARSD to enable more efficient healing by avoiding complications associated with both low perfusion and skin tearing, such as dehiscence, infection, and cheese wiring.
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spelling pubmed-84394282021-09-17 Enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device Stoecker, Allison Lear, William Johnson, Karsten Bahm, Jared Kruzic, Jamie J. Health Sci Rep Research Articles BACKGROUND AND AIMS: The purpose of this investigation was to test the hypothesis that a novel adhesive retention suture device (ARSD) can increase perfusion at elliptical wound closures by distributing stress away from the suture site. METHODS: Stress in the skin around a suture both with and without support from an ARSD was evaluated using a finite element model. A single‐center, randomized split‐scar comparison trial using laser speckle contrast analysis was used to quantify the perfusion at elliptical wound closures in human patients both with and without an ARSD. RESULTS: The finite element model revealed that the ARSD promoted load transfer to the skin over a larger area, thus reducing the local stress and deformation in the skin around the suture site. Results from the split‐scar study showed a mean improvement of 25% perfusion units with the ARSD, and the improvement was statistically significant (p = 0.002). CONCLUSION: The reduction in local stress and enhanced perfusion around the suture site reveals the potential benefit of using an ARSD to enable more efficient healing by avoiding complications associated with both low perfusion and skin tearing, such as dehiscence, infection, and cheese wiring. John Wiley and Sons Inc. 2021-09-14 /pmc/articles/PMC8439428/ /pubmed/34541331 http://dx.doi.org/10.1002/hsr2.364 Text en © 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Stoecker, Allison
Lear, William
Johnson, Karsten
Bahm, Jared
Kruzic, Jamie J.
Enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device
title Enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device
title_full Enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device
title_fullStr Enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device
title_full_unstemmed Enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device
title_short Enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device
title_sort enhanced perfusion of elliptical wound closures using a novel adhesive suture retention device
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8439428/
https://www.ncbi.nlm.nih.gov/pubmed/34541331
http://dx.doi.org/10.1002/hsr2.364
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