Skin Stapling

Surgery · Surgery · 10–20 min

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

1. Clean & anesthetize

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.

WardRound

WardRound

Clinical Decisions in Seconds