Randomized Study of a New Noninvasive Skin Closure Device for Use After Congenital Heart Operations  Yuki Tanaka, MD, Takashi Miyamoto, MD, PhD, Yuji.

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Randomized Study of a New Noninvasive Skin Closure Device for Use After Congenital Heart Operations  Yuki Tanaka, MD, Takashi Miyamoto, MD, PhD, Yuji Naito, MD, PhD, Shuichi Yoshitake, MD, Akihiro Sasahara, MD, Kagami Miyaji, MD, PhD  The Annals of Thoracic Surgery  Volume 102, Issue 4, Pages 1368-1374 (October 2016) DOI: 10.1016/j.athoracsur.2016.03.072 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Enrollment and randomization. Zip, ZipLine Medical, Campbell, CA. (DSC = delayed sternal closure.) The Annals of Thoracic Surgery 2016 102, 1368-1374DOI: (10.1016/j.athoracsur.2016.03.072) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Zip surgical skin closure device (ZipLine Medical, Campbell, CA) used to close surgical wounds in the Zip group. There are two device sizes, Zip 16 (length, 16 cm) and Zip 8 (length, 8 cm). The Annals of Thoracic Surgery 2016 102, 1368-1374DOI: (10.1016/j.athoracsur.2016.03.072) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Photographs of (A) suture and (B) Zip surgical skin closure (ZipLine Medical, Campbell, CA) show the cosmetic appearance 3 months after the cardiac operation. The Annals of Thoracic Surgery 2016 102, 1368-1374DOI: (10.1016/j.athoracsur.2016.03.072) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Wound closure times. Closure times in the Zip (ZipLine Medical, Campbell, CA) group (red box) were significantly shorter compared with the suture group (blue box; p < 0.001). The horizontal line in the middle of each box indicates the median; the top and bottom borders of the box mark the 75th and 25th percentiles, respectively, and the whiskers mark the 95% confidence intervals. The Annals of Thoracic Surgery 2016 102, 1368-1374DOI: (10.1016/j.athoracsur.2016.03.072) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions