title: Reinforcement of subcuticular continuous suture closure with surgical adhesive strips and gum mastic: Is there any additional strength provided?
abstract: BACKGROUND
  This study aimed to compare the burst strength of suture closure versus the use of suture and strip together.
  
  
  METHODS
  On cadavers, 50 skin incisions were closed as follows: group 1--subcuticular continuous suture; group 2--same suturing with placement of strips; group 3--same as group 2 except gum mastic was applied prior to strips; group 4--strips alone; and group 5--strips with gum mastic application. The separation forces were measured using a tensilometer.
  
  
  RESULTS
  The mean separation forces were as follows: group 1, 14.17 kg; group 2, 14.37 kg; group 3, 15.39 kg; group 4, 1.52 kg; and group 5, 3.85 kg. There were no statistically significant differences between groups 1, 2, and 3. When compared with group 4, group 5 required markedly more force to separate the wound.
  
  
  CONCLUSIONS
  Strip reinforcement with/without gum mastic did not provide any additional strength when sutures were used. Gum mastic increased the adherence of strips and this was important when strips were the only means of wound closure.
authors.affiliation: Department of Surgery, Providence Hospital and Medical Centers, Southfield, MI, USA. ryavuzer@hotmail.com
authors.forename: Reha
authors.initials: R
authors.lastname: Yavuzer
authors.forename: Christopher
authors.initials: C
authors.lastname: Kelly
authors.forename: Noreen
authors.initials: N
authors.lastname: Durrani
authors.forename: Vijay
authors.initials: V
authors.lastname: Mittal
authors.forename: Ian T
authors.initials: IT
authors.lastname: Jackson
authors.forename: Stephen
authors.initials: S
authors.lastname: Remine
mesh_terms: D000328:Adult; D002102:Cadaver; D006801:Humans; D008297:Male; D000069997:Mastic Resin; D012116:Resins, Plant / Q000627:therapeutic use*; D040521:Subcutaneous Tissue / Q000293:injuries*; D013529:Surgical Wound Dehiscence / Q000517:prevention & control; D013536:Suture Techniques; D013537:Sutures; D013718:Tensile Strength; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014951:Wounds, Stab / Q000503:physiopathology* / Q000628:therapy*
chemical_list: D000069997:Mastic Resin; D012116:Resins, Plant; D014014:Tissue Adhesives