Rapid skin closure of straight linear wounds using surgical staples.
Indications
- • Scalp lacerations
- • Long, straight surgical incisions
Contraindications
- ⚠ Face/hands
- ⚠ Complex/gaping wounds
- ⚠ MRI within 6 wk (relative)
Equipment
- • Sterile stapler
- • Toothed forceps
- • Local anesthetic
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/4)
Tap to complete
As per wound.
2. Evert edges
3. Fire staples
4. Dressing
Immediate complications
- ⚠ Malapposition
Delayed complications
- • Infection
- • Track marks if left too long
Recognition
- • Redness
Initial management
- • Antibiotics; removal
Prevention
- • Correct positioning
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
