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Journal Burn Care Rehabilitation Volume 10, Issue 3 1989, May-Jun; Pages 216-9. |
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The efficacy of adhesives in the application of wound dressings. |
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Mikhail GR, Selak L, Salo S, Balle MR. |
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Mohs Micrographic Surgery Section, Department of Dermatology, Henry Ford Hospital, Detroit, Michigan 48202 USA |
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Abstract
The use of adhesive preparations to reinforce surgical tapes and to secure dressings to the skin is standard practice. BioBrane is a biosynthetic membrane for use in dressing clean, well-debrided wounds, particularly partial-thickness burns and skin graft donor sites. The close and undisturbed contact of this material with the wound surface is important during the first 2 days after its application to achieve adherence. This has prompted a study to test the relative anchoring strength of four methods of securing the dressing to the normal skin around the wound: 1/2-inch (1.27-cm) Steri-Strips only; Mastisol, a mastic compound, with and without 1/2-inch Steri-Strips; and compound tincture of benzoin, USP, in combination with 1/2-inch Steri-Strips. The results obtained with a tension of 1.1 pounds/square inch (0.5 kg/6.5 cm2) were not conclusive as to the superiority of any one method. However, with a tension of 2.2 pounds/square inch (1 kg/6.5 cm2), the combination of mastic compound and 1/2-inch Steri-Strips provided the strongest adhesion. This type of application should also prove useful when other types of surgical dressings must be anchored in place. |
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The American Journal of Surgery Volume 189, Issue 3 , March 2005, Pages 315-318 |
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Reinforcement of subcuticular continuous suture closure with surgical adhesive strips and gum mastic: Is there any additional strength provided? |
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Reha Yavuzer M.D.a, , Christopher Kelly M.D.b, Noreen Durrani M.D.a, Vijay Mittal M.D.a, Ian T. Jackson M.D.b and Stephen Remine M.D.a |
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a Department of Surgery, Providence Hospital and Medical Centers, Southfield, MI, USA
b Institute for Craniofacial and Reconstructive Surgery, 16001 W. Nine Mile Rd.–3rd Floor–Fisher Center, Southfield, MI 48075, USA |
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Abstract
Background
This study aimed to compare the burst strength of suture closure versus the use of suture and strip together.
Methods
On cadavers, 50 skin incisions were closed as follows: group 1—subcuticular continuous suture; group 2—same suturing with placement of strips; group 3—same as group 2 except gum mastic was applied prior to strips; group 4—strips alone; and group 5—strips with gum mastic application. The separation forces were measured using a tensilometer.
Results
The mean separation forces were as follows: group 1, 14.17 kg; group 2, 14.37 kg; group 3, 15.39 kg; group 4, 1.52 kg; and group 5, 3.85 kg. There were no statistically significant differences between groups 1, 2, and 3. When compared with group 4, group 5 required markedly more force to separate the wound.
Conclusions
Strip reinforcement with/without gum mastic did not provide any additional strength when sutures were used. Gum mastic increased the adherence of strips and this was important when strips were the only means of wound closure. |
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