Outpatient Surgery Magazine

Running on Empty - August 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/1153553

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Page 81 of 116

8 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 1 9 F irst, a disclaimer on emerging alternative wound-closure devices: There is nothing superior to the traditional suture in terms of approximating wound edges. On this, plastic surgeon Richard Vagley, MD, FACS, of Spectrum Aesthetics in Coral Gables, Fla., is adamant. Still, Dr. Vagley is bullish on the latest wound closure tech- nologies, 6 of which we profile in this article, that can come pretty close to the precision of a traditional suture in a fraction of the time. And he isn't the only one. Asit K. Shah, MD, PhD, an orthopedic sur- geon with Englewood (N.J.) Hospital, is also encouraged by recent advances. "Wound closure has never really been improved upon," says Dr. Shah, "and the bulk of major surgeries have simply been closed by staples." But there are plenty of compelling reasons to rethink this status-quo approach to wound closure. • Patient satisfaction. Dr. Shah recently surveyed his patients on wound closure, and what he found was eye-opening. "There's a real fear among patients about having these staples removed," says Dr. Shah. "With a knee revision, we're talking about 30, 40 or 50 staples we need to remove." In addition to reducing the need for inconvenient follow-up staple- Jared Bilski | Senior Associate Editor What's New in Alternative Wound Closure Will these devices supplant traditional sutures and staples? • CLOSING TIME New wound-closure products let busy physicians forgo the time-consuming process of staple and suture removal. Pamela Bevelhymer, RN, BSN, CNOR

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