In response to the message about stapling:
I have used staples for scalp, extremity, and torso wounds, mostly in
adults, and occasionally in children. The reason for my limited use in
kids, is lack of stapling units in our peds hospital ED. I have found
this technique especially useful for long superficial lacerations such as
those caused by a razor. I use anesthesia as I otherwise would for the
given wound (e.g., LET for most pediatric lacs, especially of the scalp
with p.r.n. augmentation with infiltration of lidocaine). Some physicians
that I have spoken with do not use any anesthesia for the small scalp
laceration that requires 1-2 staples. I have not used staples on facial
lacerations due to my lack of experience/knowledge about this. Most of
the results that I have seen with staple use have been excellent. I have
yet to see a case of wound infection in a patient with staples.
The arguments in favor of staple use include:
Speed of placement
Good cosmetic results
Decreased risk of infection compared to sutures
The arguments I have heard against staples:
Not useful for deep wounds
I have some questions to add to this discussion:
1. Are staplers truly more expensive if one includes the cost of
the suture kit into the total cost of suture placement?
Sometimes I find that I need forceps to hold the tissues together
before stapling, but I do not usually need a complete suture kit.
2. For the small scalp laceration (e.g., <1cm), is any wound closure
I often only irrigate these, and allow them to heal by secondary
3. Could/should staples be used for facial lacerations?
Zach Kassutto, M.D.
St. Christopher's Hospital for Children
eMail: [log in to unmask]
> Date: Fri, 20 Dec 1996 23:02:42 -0800
> From: Abu Khan <[log in to unmask]>
> Subject: Repair of laceration by stapling
> Currently we are using proximate staples to close small scalp
> laceration. It seems to me, it is an easy and quick way to reapire a
> leceration. I am very much interested to find out the current status of
> use of staples for laceration repair in other places.
> If you are currently using staples for laceration repair, Please answer
> the following questions:
> 1. For which kind of wounds you use staples
> 2. Do you use any topical or local anesthetics.
> 3. Do you use it for all age group or any particular age group
> 4. Do have any defined protocol for it.
> 3. What is your experience about the outcome.
> If you are not using the staples at present please explain why you are
> not using them.
> Please answer the above questions and help me to complete the survey. I
> will share the result and experience with all of you.
> Thanking you
> Abu Khan
> Email:[log in to unmask]
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: