Are staples stronger than stitches?

20 May.,2024

 

Surgical Staples: What You Need to Know - Healthline

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What are surgical staples?

Surgical staples are used to close incisions after surgery. Staples may be a better option in some cases than stitches or sutures.

Unlike stitches, surgical staples don’t dissolve as your incision or wound heals. For this reason, they require some special care and must be removed by your doctor once the incision has healed.

How long do they need to stay in your body?

Surgical staples need to stay in for a few days or up to 21 days (in some cases) before they can be removed.

How long your staples must stay in place depends largely on where they’re placed and other factors such as:

  • the size and direction of the incision
  • the type of surgical procedure you had
  • the complexity or severity of your incision or wound
  • how quickly the area heals

For example, after a C-section, staples used to close a low transverse (horizontal across the body) incision may be removed after three to four days. But staples used in a vertical incision may not be removable for 7 to 10 days or more.

Several indicators that your surgical staples may be ready to be removed include:

  • The area has healed well enough that staples aren’t needed anymore and the wound won’t reopen.
  • There’s no pus, fluid, or blood drainage from the area.
  • There aren’t any symptoms of infection.

Can you remove surgical staples at home?

Never try to remove surgical staples yourself at home. Always have a licensed medical professional remove staples.

Your doctor will follow special procedures and use specific tools in order to safely remove surgical staples without causing complications.

How are they removed?

The exact staple removal procedures your doctor uses will depend on:

  • where the staples are located on your body
  • what type of surgery you had
  • whether they’re used inside or outside your body

It’s usually not painful when your doctor removes your surgical staples. You may feel a tugging or pinching sensation as each staple is removed.

When removing your surgical staples, your doctor will follow these general steps:

  1. Remove any wound dressing or other materials covering the area.
  2. Look for any abnormal symptoms or issues with the wound’s appearance.
  3. Clean and sterilize the entire area with medical antiseptics.
  4. Slide the lower part of a staple extractor tool underneath the outermost staple on either side of the stapled area.
  5. Wiggle the staple gently side to side until it comes out of the skin.
  6. Put the staple on a clean sheet of gauze immediately.
  7. Repeat steps 4 to 6 on every second staple along the area until the end of the incision is reached. You may not have all your staples removed at a single appointment if the area is not fully healed.
  8. Remove all remaining staples.
  9. Put a sterile strip on each area from which a staple was removed.

Some staples may stay inside your body permanently. This is often done to keep internal organ tissues connected and resistant to further damage.

When are surgical staples used?

Surgical staples are used to close surgical incisions or wounds that are too big or complex to close with traditional stitches. Using staples can decrease the time needed to complete surgery and can be less painful.

Staples may be simpler, stronger, and speedier to use to close large, open wounds than traditional stitches, and may be used after major surgery.

For example, staples are often used after C-sections because they help the incision heal faster while also reducing scar appearance.

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How do I care for surgical staples?

After getting staples, the following steps will help keep them clean as you heal:

  • Follow all postsurgical instructions from your doctor.
  • Don’t remove any dressings or bandages until your doctor says it’s safe to do so.
  • Rinse the area gently with clean water twice a day.
  • Use Vaseline or petroleum jelly and a sterile bandage that doesn’t stick to cover the area.
  • Replace bandages at least once a day or every time it gets soiled or wet.

What are surgical staples made of?

Some common surgical staple materials include:

  • Titanium. Known to easily adhere to both bodily tissues and bone, titanium is less likely to cause inflammation or infection.
  • Plastic. This material is used if you’re allergic to metals found in other surgical staples.
  • stainless steel. Plastic is commonly used for staples and may help reduce scar appearance.
  • Polylactide-polyglycolide copolymer. This material is easily reabsorbed into the body. It’s popular in plastic surgery because it’s less likely to leave a noticeable scar following healing.

How are surgical staples placed?

Surgical staples are placed with a special stapler.

They don’t look quite the one on your desk. Surgical staplers look more like commercial-grade construction staplers with a handle and lever that your doctor pushes down to place the staple.

Surgeons use these specially designed staplers to safely, quickly, and precisely place surgical staples on a wound. The process is much faster than stitching or suturing because the staples are placed instantly.

What are the risks of surgical staples?

Surgical staples do carry some risks, including:

  • infection from not taking care of the wound (or from bacteria getting into the area)
  • improper placement of the staples causing the wound to heal poorly or not close all the way
  • wound reopening after staple removal (if staples are removed too early)
  • allergic reaction to staple materials

When should I call a doctor?

Seek emergency medical attention if you notice any of the following symptoms around the area that’s been stapled:

  • severe or new pain
  • bleeding from your incision
  • redness or swelling of your incision and surrounding area
  • increase in the size or depth of the stapled area
  • dark or dry appearance around the stapled area
  • thick, bad-smelling pus or discharge colored yellow, green, or brown
  • low-grade fever (100°F or higher) that lasts for four hours or more

The takeaway

Staples have a number of advantages over stitches for especially large or complex surgeries, injuries, or incisions. In some cases, they may even lower your chances of complications like infection.

Talk to your doctor before getting staples. Be sure to let your doctor know about any allergies you may have and if you’ve had any complications from surgical staples in the past.

Stitches or Staples: Which Do You Need?

Stitches and staples are both used to close surgical incisions and wounds. With that said, they each have specific benefits and limitations that make them more - or less - appropriate for certain situations.
Understanding Stitches
Stitches are silk, nylon, or polypropylene (prolene) threads which are sewed through skin to bring a wound together. Generally, the patient will wear stitches for a certain number of days, until the wound has healed enough to have them removed. In some cases, however, doctors will use absorbable stitches, which the body breaks down over time. Absorbable sutures are typically part of a more complex, multi-layer wound closure, which require the need to be absorbed since they are buried in a deeper tissue level. These stitches are usually derived from specially processed animal products or synthetic polymer materials, such as polydioxanone (PDS), polyglyconate (Maxon), polyglycolic acid (Dexon) or polylactic acid (Vicryl).
Understanding Staples
Comprised of metal, staples are usually necessary to close deep lacerations, which aren't appropriate for ordinary stitches. Usually comprised of stainless steel or titanium, they can also be made from materials such as nickel, chromium, plastic or iron. They may also be curved, straight or circular and are generally used during procedures that must be performed quickly, or in areas of the body that are difficult to stitch. Staples may be used on the abdomen, legs, arms, scalp or back; however, they should not be used on the neck, feet or face.
Stitches or Staples: The Advantages of Each
Although they differ in many ways, staples and stitches are cosmetically equivalent when it comes to scarring. Usually, a physician will determine the choice of materials and technique based on his or her experiences and preferences. In most cases, staples are easier to remove and allow for quick wound closure with minimal inflammation. That said, staples require a special tool for removal, while stitches require a simple pair of scissors. Staples also generally require two healthcare professionals - one to align skin using a forceps, and one to apply the staples. On the other hand, it usually only takes one health care professional to close a wound using stitches.
In general, staples offer a few advantages over stitches, including:

  • Quick placement: Stapling is about three to four times faster than traditional suturing.
  • Fewer Infections: Stapling is associated with lower tissue reaction and a lower risk of infection when compared to stitches.

On the downside, staples are more expensive than stitches. It can also be somewhat difficult to align the edges of a wound for stapling, and some patients may have adverse psychological responses to the idea of stapling.
When to Seek Medical Attention
Most lacerations benefit from being closed with staples or stitches, especially if the wound exceeds a half-inch in length. In addition to reducing the likelihood of infection, treatment can restore appearance, stop bleeding and restore normal function.

Contact us to discuss your requirements of manual endoscopic staplers. Our experienced sales team can help you identify the options that best suit your needs.