Commonly linear staplers are used to perform laparoscopic appendectomies. We report a case of a small bowel obstruction caused by a staple on the appendiceal stump creating an internal hernia <1 week after laparoscopic appendectomy. We discuss the available literature on bowel obstructions caused by staples. Most of the discussed complications were caused by staples free in the abdomen, which w...

Six pigs were used to evaluate the influence of three separate modalities on contaminated wounds. Full-thickness skin wounds on the abdomen were contaminated with 10(4) or 10(5) Staphylococcus aureus and then closed with one of three methods. The three closure modalities included (1) a new absorbable staple (Insorb) placed in the subcuticular tissue, (2) a braided Vicryl suture, and (3) percuta...

OBJECTIVE To systematically evaluate the evidence across surgical specialties as to whether staples or sutures better improve patient and provider level outcomes. DESIGN A systematic review of systematic reviews and panoramic meta-analysis of pooled estimates. RESULTS Eleven systematic reviews, including 13,661 observations, met the inclusion criteria. In orthopaedic surgery sutures were fo...

Background. Lichtenstein tension free repair is the most commonly used technique due to cost effectiveness, low recurrence rate, and better patient satisfaction. This study was done to compare the duration of surgery and postoperative outcome of securing mesh with skin staples versus polypropylene sutures in Lichtenstein hernia repair. Materials and Methods. A total of 96 patients with inguinal...

BACKGROUND Surgical site wound closure plays a vital role in post-operative success. This effect is magnified in regard to commonly performed elective procedures such as total knee arthroplasty. The use of either sutures or staples for skin re-approximation remains a contested subject, which may have a significant impact on both patient safety and surgical outcome. The literature remains divide...

BACKGROUND The glycaemic responses of staples differ when eaten as mixed meals. We determined the glycaemic responses and glycaemic index (GI) values for common South Asian carbohydrate rich foods and the effect of adding curried chicken to them as mixed meals. METHODS The GI and glycaemic response to staples (basmati rice, pilau rice and chapatti) and mixed meals (pilau rice with chicken cur...

This study compared the healing, the type of micro-organisms around the suture material, pain score during removal of suture / staple and cost of the closure material per patient. Sixty patients were allocated in 4 groups. Each group had 15 patients, aged 16 to 70 years of age with isolated fractured zygoma. They were prospectively randomly selected to have staple, silk, prolene or vicryl rapid...

BACKGROUND In the spectrum of surgical decision-making, wound closure material is often an afterthought. However, the findings of a recent meta-analysis suggest that the rate of surgical site infections (SSIs) is increased by using staples to close surgical wounds. Less clear is the effect of closure material on the incidence of non-infectious wound complications.The aim of this study was to co...

Background: Aim of the study was to compare suture techniques using interrupted mattress and continuous subcuticular stapler in terms wound closure time; pain stitch line on post-operative day 3, 5 7 patient satisfaction. Methods: All patients fulfilling inclusion criteria, were divided into 3 categories (interrupted mattress, staples) by random selection. Assessment parameters being skin indur...

OBJECTIVE To compare the clinical outcomes of staples versus sutures in wound closure after orthopaedic surgery. DESIGN Meta-analysis. DATA SOURCES Medline, CINAHL, AMED, Embase, Scopus, and the Cochrane Library databases were searched, in addition to the grey literature, in all languages from 1950 to September 2009. Additional studies were identified from cited references. Selection criter...