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J Korean Soc Emerg Med > Volume 35(2); 2024 > Article
Journal of The Korean Society of Emergency Medicine 2024;35(2): 175-180.
두피열상에 스테이플러를 이용한 일차봉합에서 합병증 발생 인자에 대한 분석
최병학 , 장재호
가천대학교 길병원 응급의학과
Analysis of complications associated with primary closure of scalp lacerations using a stapler
Byung Hak Choi , Jae Ho Jang
Department of Emergency Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
Correspondence  Jae Ho Jang ,Tel: 032-460-3901, Fax: 032-460-30191, Email: jhjang@gilhospital.com,
Received: July 21, 2023; Revised: October 12, 2023   Accepted: October 29, 2023.  Published online: April 30, 2024.
ABSTRACT
Objective:
Scalp lacerations are mostly treated with primary closure using staplers in the emergency department. This study examined the complications of patients who underwent scalp laceration closure with staplers over the past 5 years to identify the risk factors and indications for stapler closure.
Method:
Patients who visited the emergency department with scalp lacerations registered in the electrical medical records of the author’s hospital (2018-2022) were included. All included cases were categorized into two groups: patients without revision (group A) and with wound revision (group B). The general characteristics and the factors associated with complications (e.g., prior medical history and the length and location of wounds) were investigated.
Results:
Among 794 emergency department and outpatient clinic visits, 751 and 42 patients were in groups A and B, respectively. The odds for revision were affected by wound length (odds ratio [OR]=3.996; 95% confidence interval [CI], 1.905-8.383). The odds for revision were higher in a drunken state (OR=1.431; 95% CI, 0.686-2.984) and loss of consciousness (OR=1.629; 95% CI, 0.750-3.539). The prior medical history and wound location did not show a significant relationship with an increased risk of revision.
Conclusion:
Scalp lacerations of 5 cm or more should be sutured using sutures rather than staplers, and additional research is needed on other factors that may cause complications.
Key words: Scalp laceration; Surgical staple; Wound; Head injuries
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