TY - JOUR
T1 - A New Proposal of Skin-Closure System for Median Sternotomy
T2 - Usefulness and Cosmetic Results Analysis of Medizip™ Surgical Zipper in Neoplastic Immuno-Compromised Patients
AU - Brega-Massone, Pier Paolo
AU - Lequaglie, Cosimo
AU - Magnani, Barbara
AU - Cataldo, Ignazio
PY - 2003/12
Y1 - 2003/12
N2 - 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.
AB - 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.
KW - Median sternotomy
KW - MEDIZIP
KW - Oncological patients
KW - Skin-closure system
UR - http://www.scopus.com/inward/record.url?scp=0344012491&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0344012491&partnerID=8YFLogxK
U2 - 10.1002/jso.10326
DO - 10.1002/jso.10326
M3 - Article
C2 - 14756437
AN - SCOPUS:0344012491
VL - 84
SP - 249
EP - 254
JO - Journal of Surgical Oncology
JF - Journal of Surgical Oncology
SN - 0022-4790
IS - 4
ER -