Abstract
BackgroundIt is controversial whether surgical zipper technique (SZT), a non-invasive method of surgical wound closure, achieves a better outcome of incision healing than intracutaneous sutures (IS) in the surgery. This meta-analysis was performed to systematically analyze whether surgical zipper is superior to suture material for the incision closure.MethodsDatabases and reference lists were searched for randomized controlled trials (RCTs) comparing SZT with IS for the incision closure.ResultsFour RCTs with 678 patients were identified and analyzed. Compared with IS, SZT achieved similar incidence of postoperative complications, less time for incision closure, less cost of both surgeons’ time and operating room time, no need for removing sutures and more comfort for the patients. Besides, SZT achieved perfect aesthetic results in various types of incisions with the exception of those with substantial curvatures, those with secretions, in obese patients or those under high tension.ConclusionThe non-invasive zipper technique may be a more attractive option of incision closure in a wide spectrum of surgical areas.
Highlights
The healing of a skin wound is a complex process requiring the collaborative efforts of many tissues and cell lineages [1]
A new closure technique named surgical zipper technique (SZT) is being widely used to facilitate the incision healing [7,8,9]. It is a combination of microporous polyester and a zipper that is coated with acrylate adhesive, which could provide uniform force on the wound edge to facilitate a natural healing process of the incision [7,8,9]
Sixty-nine articles were excluded after screening their titles and abstracts, and the rest was analyzed by reading the full text
Summary
The healing of a skin wound is a complex process requiring the collaborative efforts of many tissues and cell lineages [1]. A new closure technique named surgical zipper technique (SZT) is being widely used to facilitate the incision healing [7,8,9] It is a combination of microporous polyester and a zipper that is coated with acrylate adhesive, which could provide uniform force on the wound edge to facilitate a natural healing process of the incision [7,8,9]. Editor: Lanjing Zhang, University Medical Center of Princeton at Plainsboro, UNITED STATES It is controversial whether surgical zipper technique (SZT), a non-invasive method of surgical wound closure, achieves a better outcome of incision healing than intracutaneous sutures (IS) in the surgery. This meta-analysis was performed to systematically analyze whether surgical zipper is superior to suture material for the incision closure
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