Wound Closure

Wound Closure

Wound closure products impact every specialty, every procedure, and every surgical patient. Ethicon is the global leader in wound closure,1 with products that help improve patient outcomes, optimize healing, and maximize operating room efficiency.A2-9

Wound closure products impact every specialty, every procedure, and every surgical patient. Ethicon is the global leader in wound closure,1 with products that help improve patient outcomes, optimize healing, and maximize operating room efficiency.A2-9

Clinical and Economic Value

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Economic Evidence

In total join arthroplasty, watertight multi‐layer closure with STRATAFIX™ Symmetric Knotless Tissue Control Device, STRATAFIX™ Spiral Knotless Tissue Control Device, and DERMABOND™ PRINEO™ Skin Closure System vs. conventional sutures and staples was associated with significantly24

  • Fewer reoperations within 90 daysD
  • Shorter length of stayD
  • Increased days to readmissionD
  • Lower incidence of discharge to non-home settingE
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Clinical Value

Ethicon Plus Antibacterial Sutures are the only triclosan-coated sutures commercially available worldwide— and are backed by a large body of clinical evidence.10-23 Meta-analysis of 21 RCTs showed a 28% reduction in relative risk of Surgical Site Infection (SSI) with triclosan-coated sutures versus the non-coated suture group.BC12 

Understanding the Challenges with Wound Closure

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Strong and Secure Tension 

Interrupted closure with traditional sutures can lead to inconsistent distribution of tension.25 Strength and security can be compromised with a break in the suture during continuous closure with traditional sutures.26

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Surgical Site Infections 

Surgical Site Infections (SSIs) are common and costly, occurring in an estimated 2-5% of in-patient surgeries.27 A single SSI can cost up to $39,000.F28,29

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Watertight Seal 

An intentional breach in the skin via surgical incision needs to be closed.  Bacteria, water, and other contaminants should be kept out of the incision during the critical wound healing period (48 hours).30
 

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Complicated Patient Profiles 

Today’s patients are older, sicker, have more comorbidities, are more likely to have had previous percutaneous interventions, and therefore have higher risk for complications.  Vessels may be fragile and delicate, occluded, or calcified.31