Document Detail


Is the use of Steri-StripTM S for wound closure after coronary artery bypass grafting better than intracuticular suture?
MedLine Citation:
PMID:  20051451     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Several methods have been used in wound closure after coronary artery bypass grafting (CABG). In this study, the safety and efficacy of one of these methods, Steri-Strip S is compared with the traditional intracuticular suture method. Eighty-one patients undergoing CABG were prospectively randomized into two groups according to the method of skin closure: Steri-Strip S group and traditional suture group. Comparison between the two methods was done with regards to the length of the wound and the time needed to close it. The median closure time with Steri-Strip S was 5.45+/-3.35 min vs. 7.53+/-3.41 min in the suture group. A pain score of >or=6 at the first postoperative day was found in 30% of the patients in the suture group vs. 14% of the patients in the Steri-Strip S group (P=0.07). Cosmetic evaluation showed a non-significant difference in the linear visual analogue score in favor of Steri-Strip S group compared to the intracuticular suture group (73.1 vs. 70.1) (P=0.07). Steri-Strip S is a fast, safe alternative for wound closure of the sternotomy incision and graft harvesting site. A larger study is needed to establish the potential beneficial effect of Steri-Strip S on wound infection prevention.
Authors:
Dennis F D van de Gevel; Mohamed A Soliman Hamad; Ted W O Elenbaas; Judith U Ostertag; Jacques P A M Sch?nberger
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2010-01-05
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  10     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-25     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  561-4     Citation Subset:  IM    
Affiliation:
Department of Cardio-thoracic Surgery, Catharina Hospital, Eindhoven, Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Cicatrix / etiology,  prevention & control
Coronary Artery Bypass* / adverse effects
Female
Humans
Length of Stay
Male
Middle Aged
Pain Measurement
Pain, Postoperative / etiology,  prevention & control
Prospective Studies
Sternotomy* / adverse effects
Surgical Tape* / adverse effects
Suture Techniques* / adverse effects
Time Factors
Tissue and Organ Harvesting / adverse effects
Treatment Outcome
Wound Healing*
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2010 Apr;10(4):564   [PMID:  20335393 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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