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Clinical Trial Protocol / HASTATrial 08.08.2008×Version 2 Hand suture versus Stapling for Closure of Loop Ileostomy: HASTATrial en Tia NCT l A randomized controlled trial C on FID SGC Trial Number

How to fill out hand-suture versus stapling for

How to fill out hand-suture versus stapling for:

1. Evaluate the wound: Assess the location, size, and depth of the wound to determine whether hand-suturing or stapling is more suitable.
2. Clean the wound: Thoroughly cleanse the wound using sterile saline solution or mild soap and water to minimize the risk of infection.
3. Anesthetize the area: If necessary, administer local anesthesia to numb the area before performing either hand-suturing or stapling.
4. Hand-suturing technique: Begin by aligning the wound edges and carefully inserting a needle and suture thread through the skin on one side, making a stitch. Continue stitching across the wound, ensuring appropriate tension and knotting the suture properly to close the wound.
5. Stapling technique: Align the wound edges and place the staple cartridge flat against the wound. Gently squeeze the handle to fire the staples into the skin, securing the wound edges together.
6. Post-procedure care: Apply a sterile dressing or adhesive strips over the wound to protect it and keep it clean. Advise the patient on proper wound care, including avoiding excessive movement, keeping the wound dry, and following up with a healthcare professional for suture or staple removal, if necessary.

Who needs hand-suture versus stapling for:

1. Hand-suturing: Hand-suturing is often preferred for wounds in areas where cosmetic outcome is critical, such as the face, hands, or delicate areas where precision is important. It is also suitable for wounds with irregular or curved edges that can be better aligned with sutures.
2. Stapling: Stapling is commonly used for large, linear wounds with straight edges, such as surgical incisions or traumatic lacerations. It is often faster and more efficient than hand-suturing, particularly for wounds in less visible areas. Stapling is also an option when the wound is under tension or difficult to suture.

Both hand-suturing and stapling have their indications and benefits, and the choice between them will depend on the specific characteristics of the wound, the location, and the preferences of the healthcare professional performing the procedure. It is always recommended to consult with a healthcare provider for appropriate wound closure techniques.

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