What are the advantages and disadvantages of using a disposable circular stapler to close a wound compared to a traditional "stitch", and what are the differences between the operation and the post-operative period?

In fact, whether it is a wound caused by trauma or a surgical incision, our doctors will use various methods to close the wound in order to allow the split skin to heal better and faster in the later stages.

There are many common methods of wound closure, but the most classic and standard is to use "stitches", which can close almost any wound.

1、The advantages of disposable circular stapler

(1) Fast wound closure

Although in most cases, the surgeon can slowly and carefully close the wound, but for some special cases, such as serious trauma, bleeding has been a lot, the operation time is very long, the amount of anesthesia has been very large, the patient's general condition is poor and needs to rush back to the ward or ICU and so on. It is particularly important to close the wound as soon as possible to end the operation.

After all, faster wound closure means less operative time, less bleeding, less anesthetic dosage, and lower anesthetic and surgical risk. This is where a quick click-click stapling of the wound with a staple skin machine is very advantageous compared to regular one-stitch stitching.

In addition, the disposable circular stapler is also more suitable for dealing with a large number of acute trauma patients brought about by sudden public events because it can complete the task of closing wounds more quickly. After all, the number of doctors is limited and they need to close the wound as soon as possible and then go to the next patient.

(2) Relatively safer

The needle of ordinary stitches is curved and bent, and it needs to "pocket" the tissue during the suturing process, which may injure or even stitch the deep structure. Compared to stitches, U-shaped staples pose less risk of accidental stitch injury.

2、Disadvantages of disposable circular stapler

The disadvantages of disposable circular stapler are also more obvious.

(1) the appearance of poor results, for specific wounds

Because the operation space of the stapler is limited and does not allow for fine cosmetic repair, it cannot be used for the face and neck, and is generally only suitable for the scalp, trunk, extremities, and is a neatly edged wound.

(2) Staples can cause discomfort at the suture site

This is more obvious in the postoperative period, especially in the hands and feet and other parts of the more active.

(3) U-shaped nail will more or less affect various imaging examinations

U-shaped nails are, after all, metal and will show up on X-rays and CT, and their scanning artifacts will affect observation. In addition, under the magnetic field of magnetic resonance examination, the U-shaped nail on the skin is likely to be torn off.

3、When and how to "remove the staple" when closing the wound with disposable circular stapler

(1) staple removal time

After closing the skin with disposable circular stapler, there is no significant difference between wound care and staple removal time, and wound closure with ordinary stitches.

For example, the scalp is generally 5-7 days, the upper extremity of the trunk is generally 7-10 days, the lower extremity is generally 10-14 days, and the tension is generally 2 weeks role.

(2) How to remove the nail

After the disposable circular stapler is closed, the staple is removed with a special "staple remover".

Therefore, if you want to go to the local hospital to remove the staple after surgery, you must remember to ask the attending physician for a staple remover when you leave the hospital. After all, not every place has one.

When removing the nail, place the tip of the nail remover under the U-shaped nail and press the nail remover handle while maintaining upward lift, the U-shaped nail will bend outward from the midline and is easily removed. The nail removal process is generally painless.