The most recent advance in skin stapling is the Auto Suture(R) SQS(R)-
20 disposable stapler. It approximates and everts wound edges, placing
one synthetic absorbable pin in the dermis each time the instrument h
andle is activated. Staple wound closure was accomplished four times f
aster than sutural closure of the dermis. Wounds with staple pin closu
re exhibit superior resistance to infection than wounds approximated b
y dermal sutures. Although sutures provide more immediate wound securi
ty, as measured by wound breaking strength, than dermal pins, the brea
king strength of wounds subjected to either dermal pins or dermal sutu
res were not significantly different 14 days after wounding. (C) 1994
John Wiley & Sons, Inc.