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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
MEDIA
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
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
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
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
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
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
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
Greater Strength and Security
With significantly more points of fixation than traditional sutures, STRATAFIX™ Knotless Tissue Control Devices give surgeons more consistent control over every pass and combine the strength and security of interrupted closure with the efficiency of continuous closure.32,33
Reduce SSI Risk
Plus Antibacterial Sutures have been shown in vitro to inhibit bacterial colonization of the suture for 7 days or more, for protection against the most common organisms associated with SSI.GH34-37 A meta-analysis demonstrated a 28% reduction in SSI risk with the use of triclosan-coated sutures.BC12
Flexible Barrier
Provides a flexible microbial barrier with 99% protection in vitro for 72 hours against organisms commonly responsible for SSIs.JKL7,38 DERMABOND PRINEO System offers strong, protected closure for optimal wound healing.7-9
Exceptional Strength
A unique silicone coating gives EVERPOINT™ Cardiovascular Needles outstanding penetration and maintains tip durability.31 38% stronger and 121% more bend resistant39, maintaining tip integrity through calcium deposits that bend, break, or dull stainless steel needles.