Are medical staples the same as regular staples?
Jun. 10, 2024
Surgical Staples: What You Need to Know
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What are surgical staples?
Surgical staples are used to close incisions after surgery. Staples may be a better option in some cases than stitches or sutures.
Unlike stitches, surgical staples dont dissolve as your incision or wound heals. For this reason, they require some special care and must be removed by your doctor once the incision has healed.
How long do they need to stay in your body?
Surgical staples need to stay in for a few days or up to 21 days (in some cases) before they can be removed.
How long your staples must stay in place depends largely on where theyre placed and other factors such as:
- the size and direction of the incision
- the type of surgical procedure you had
- the complexity or severity of your incision or wound
- how quickly the area heals
For example, after a C-section, staples used to close a low transverse (horizontal across the body) incision may be removed after three to four days. But staples used in a vertical incision may not be removable for 7 to 10 days or more.
Several indicators that your surgical staples may be ready to be removed include:
- The area has healed well enough that staples arent needed anymore and the wound wont reopen.
- Theres no pus, fluid, or blood drainage from the area.
- There arent any symptoms of infection.
Can you remove surgical staples at home?
Never try to remove surgical staples yourself at home. Always have a licensed medical professional remove staples.
Your doctor will follow special procedures and use specific tools in order to safely remove surgical staples without causing complications.
How are they removed?
The exact staple removal procedures your doctor uses will depend on:
- where the staples are located on your body
- what type of surgery you had
- whether theyre used inside or outside your body
Its usually not painful when your doctor removes your surgical staples. You may feel a tugging or pinching sensation as each staple is removed.
When removing your surgical staples, your doctor will follow these general steps:
- Remove any wound dressing or other materials covering the area.
- Look for any abnormal symptoms or issues with the wounds appearance.
- Clean and sterilize the entire area with medical antiseptics.
- Slide the lower part of a staple extractor tool underneath the outermost staple on either side of the stapled area.
- Wiggle the staple gently side to side until it comes out of the skin.
- Put the staple on a clean sheet of gauze immediately.
- Repeat steps 4 to 6 on every second staple along the area until the end of the incision is reached. You may not have all your staples removed at a single appointment if the area is not fully healed.
- Remove all remaining staples.
- Put a sterile strip on each area from which a staple was removed.
Some staples may stay inside your body permanently. This is often done to keep internal organ tissues connected and resistant to further damage.
When are surgical staples used?
Surgical staples are used to close surgical incisions or wounds that are too big or complex to close with traditional stitches. Using staples can decrease the time needed to complete surgery and can be less painful.
Staples may be simpler, stronger, and speedier to use to close large, open wounds than traditional stitches, and may be used after major surgery.
For example, staples are often used after C-sections because they help the incision heal faster while also reducing scar appearance.
How do I care for surgical staples?
After getting staples, the following steps will help keep them clean as you heal:
- Follow all postsurgical instructions from your doctor.
- Dont remove any dressings or bandages until your doctor says its safe to do so.
- Rinse the area gently with clean water twice a day.
- Use Vaseline or petroleum jelly and a sterile bandage that doesnt stick to cover the area.
- Replace bandages at least once a day or every time it gets soiled or wet.
What are surgical staples made of?
Some common surgical staple materials include:
- Titanium. Known to easily adhere to both bodily tissues and bone, titanium is less likely to cause inflammation or infection.
- Plastic. This material is used if youre allergic to metals found in other surgical staples.
- stainless steel. Plastic is commonly used for staples and may help reduce scar appearance.
- Polylactide-polyglycolide copolymer. This material is easily reabsorbed into the body. Its popular in plastic surgery because its less likely to leave a noticeable scar following healing.
How are surgical staples placed?
Surgical staples are placed with a special stapler.
They dont look quite the one on your desk. Surgical staplers look more like commercial-grade construction staplers with a handle and lever that your doctor pushes down to place the staple.
Surgeons use these specially designed staplers to safely, quickly, and precisely place surgical staples on a wound. The process is much faster than stitching or suturing because the staples are placed instantly.
What are the risks of surgical staples?
Surgical staples do carry some risks, including:
- infection from not taking care of the wound (or from bacteria getting into the area)
- improper placement of the staples causing the wound to heal poorly or not close all the way
- wound reopening after staple removal (if staples are removed too early)
- allergic reaction to staple materials
When should I call a doctor?
Seek emergency medical attention if you notice any of the following symptoms around the area thats been stapled:
- severe or new pain
- bleeding from your incision
- redness or swelling of your incision and surrounding area
- increase in the size or depth of the stapled area
- dark or dry appearance around the stapled area
- thick, bad-smelling pus or discharge colored yellow, green, or brown
- low-grade fever (100°F or higher) that lasts for four hours or more
The takeaway
Staples have a number of advantages over stitches for especially large or complex surgeries, injuries, or incisions. In some cases, they may even lower your chances of complications like infection.
Talk to your doctor before getting staples. Be sure to let your doctor know about any allergies you may have and if youve had any complications from surgical staples in the past.
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Surgeons use surgical staples to close an incision after surgery as an alternative option to sutures. They are quick and easy to use and typically have a low risk of infection.
During most surgical procedures, a surgeon makes an incision in a persons skin. After surgery, they must close this incision to prevent infection and allow it to heal. Surgeons often use sutures or surgical staples to close an incision after surgery.
This article outlines what surgical staples are and lists their uses. It also details how long surgical staples remain in the body and how to care for them.
What are surgical staples?
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Rubberball/Nicole Hill/Getty ImagesSurgical staples are usually metal staples that hold together tissues in the body. Surgeons often use them as an alternative to sutures to close a wound after surgery.
The metals that most commonly make up surgical staples include titanium and stainless steel. However, other materials that sometimes make up surgical staples can include:
- iron
- chromium
- nickel
- plastic
Surgical staples may be different shapes, including:
- straight
- curved
- circular
Uses of surgical staples
Surgeons use surgical staples to close wounds or incisions on a persons skin after surgery.
Some advantages of using surgical staples over sutures include:
- being quick and easy to place
- having minimal tissue reaction
- having a low risk of infection
- providing strong wound closure
A surgeon may use surgical staples to join tissues within the body. Sometimes, these staples may be permanent and will not require removal.
How long do they stay in the body?
A medical professional usually removes surgical staples around 1012 days after the procedure. However, this can vary.
Several factors can affect how long the staples remain in the body, including:
- the size of the incision
- the direction of the incision
- the type of surgery
- the severity of the incision or wound
- the area of the body where the staples are present
- how quickly the wound heals
In some cases, surgical staples can offer wound closure 10 times faster than sutures.
How to care for surgical staples
It is important for a person to always wash their hands before and after they touch their incision.
The initial aim is to keep the incision and surgical staples dry. Avoiding activities that could cause dirt or sweat to enter their incision is also important.
A person can check with their doctor when they can bathe again. Until then, a sponge bath is advisable to avoid getting the incision wet. If surgical staples do get wet, an individual can pat rather than rub them dry.
A bandage will usually be in place to protect a persons incision. It is important to leave this until a medical professional advises they can remove or change it. Usually, after the first 12 hours, a person may aim to change their dressing every 24 hours, or as advised by their doctor.
Once a person is able to get their incision wet, they can aim to clean it once a day by:
- Washing and drying their hands.
- Removing the bandage.
- Washing the area gently with soap and warm water.
- Using a wet cotton swab to loosen and remove any blood or crust.
- Dabbing the area dry and applying a thin layer of antibiotic ointment.
- Putting on a new bandage.
- Washing their hands.
When washing the area, it is important to avoid products that contain hydrogen peroxide, as these can slow healing. A person may wish to cover their cut with a thin layer of petroleum jelly. They can then apply a nonstick bandage. Individuals should also avoid any activity that may cause the wound to reopen during healing.
Removal of surgical staples
A person should not remove surgical staples at home a medical professional will remove them using a staple remover tool in a hospital or medical setting.
In some cases, they may use local anesthetic such as lidocaine to help ease the pain of staple removal. Studies show that applying a lidocaine patch around the wound before removing surgical staples can effectively reduce pain.
Surgical staple procedure
Applying surgical staples often requires two medical professionals.
The first person will use a pair of forceps to align the edges of the skin. They will then ensure the proper closure of the wound.
The second person will then use a surgical stapler to apply the staples to the wound.
Risks of surgical staples
Surgical site infections (SSIs) are a possible risk of the use of surgical staples. SSIs are infections that can occur after a surgical procedure in the part of the body where the surgery took place.
A meta-analysis compared the risk of SSIs associated with surgical staples and sutures after orthopedic surgery. It concluded that there was insufficient evidence of a difference in SSI risk when comparing surgical staples and sutures after orthopedic surgery.
Other potential risks of surgical staples include:
- the opening of the staple line
- malformation of the staples
- misfiring staples
- misapplied staples
Staple and stapler malfunctions or misuse can result in prolonged surgical procedures or additional surgical interventions. In cases with deep internal staples to realign internal tissues, these can lead to other complications, such as:
- bleeding
- sepsis
- tearing of internal tissues and organs
These complications may also be life threatening.
Some people may have concerns regarding staples and scarring. However, while scarring depends on factors such as the individual and type of wound, staples are sometimes preferable as they can remove tension from the skin edge.
Additionally, staples can apply suitable pressure to manage bleeding. While staples can result in marks on the skin, the risks are typically low if a surgeon removes them within 1012 days.
Summary
Surgical staples are an alternative to sutures to close incisions after surgery. A medical professional applies these staples using a surgical stapler. They usually remain in the body for up to 1012 days, but this can vary due to several factors.
A person should not remove their staples at home. A medical professional should always remove surgical staples using a staple remover tool in a hospital or clinical setting.
Complications associated with surgical staples include the risk of surgical site infections (SSIs). However, studies show that surgical staples present the same risk of SSIs as traditional sutures. Other risks associated with surgical staples include the opening of the staple line, malformation of the staples, and stapler malfunctions or misuse.
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