A New Proposal of Skin-Closure System for Median Sternotomy: Usefulness and Cosmetic Results Analysis of Medizip™ Surgical Zipper in Neoplastic Immuno-Compromised Patients

Pier Paolo Brega-Massone, Cosimo Lequaglie, Barbara Magnani, Ignazio Cataldo

Research output: Contribution to journalArticle

Abstract

Background and Objectives: The authors evaluate the effectiveness and the cosmetic results obtained using the new skin closing system MEDIZIP TM Surgical Zipper in oncological immuno-compromised patients submitted to median sternotomy. Methods: In our Institute, from 1999 to 2002, MEDIZIPTM was used to close the sternal wounds in 45 patients undergoing median sternotomy for bilateral metastasectomy. It took about half a minute (mean time: 32.00 ± 11.48 sec) to perform the application. To evaluate the cosmetic results, a three-level scale was conceived: level 1: very good, level 2: satisfactory, level 3: inadequate. Results: Overall forty-two 20 cm-long zippers were used, two 25 cm-long and one 30 cm-long. MEDIZIP TM remained in situ for an average of 9.98 ± 2.23 days (median: 9 days; range: 8-13 days). The average time taken for inspection was 70.00 ± 2.48 sec (median: 70, range: 45 - 130) and the zipper was removed in a few seconds. No wound infections were observed. We classified 39 patients at level 1 (very good, 87%), and 6 at level 2 (satisfactory, 13%). Conclusions: MEDIZIPTM can be considered an effective skin-closure system which is easily and quickly handled and assures good cosmetic results with non-invasive removal; it proves particularly useful in pediatric patients and in adults affected by neoplastic diseases and undergoing multiple combined anti-cancer treatments.

Original languageEnglish
Pages (from-to)249-254
Number of pages6
JournalJournal of Surgical Oncology
Volume84
Issue number4
DOIs
Publication statusPublished - Dec 2003

Keywords

  • Median sternotomy
  • MEDIZIP
  • Oncological patients
  • Skin-closure system

ASJC Scopus subject areas

  • Surgery
  • Oncology

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