Staples
Staples are less reactive than the least reactive suture. Deeply implanted staples do not affect tissue defenses, although staple cross members that are flush with the skin can produce cross-hatched scarring. The development of disposable staplers with absorbable tacks obviates the need for removal of staples. Subcuticular closure of skin is now also possible through the use of a disposable stapler that uses twin gripper blades to approximate and evert the wound edges and insert a disposable pin into the dermis.

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