Innovative Wound Closure: The Role of Zipper Device in Modern Surgery

The surgical zipper skin closing device offers a non-intrusive, sterile, atraumatic, hypoallergenic, and hydrophobic approach for closing the surgical wounds. This zipper-like, non-invasive dressing utilizes two hydrocolloid adhesive strips to gradually close incisions. Surgical zippers are available in seven sizes, suitable for wounds between 4cm and 47cm. Compared to conventional methods like sutures and staples, zip-type closures provide numerous benefits, including ease of use, higher success rates, minimized tension, and lower infection rates. They also offer superior cosmetic results and faster healing due to stress distribution and gentle compression. The device is needle-free and sharp-free, eliminating skin puncture risks. It significantly reduces wound closure time (e.g., the Medizip system reduces closure time to 2-2.3 minutes compared to 9.4 minutes with sutures). Surgical zippers are effective in various surgical scenarios, including orthopedic, neurosurgery, obstetric, and cardiovascular procedures, and can even be used in non-sterile settings. Patients report greater satisfaction due to enhanced comfort and aesthetics, and the device can reduce the need for additional procedures, shorten hospital stays, and save time. Cosmesis outcomes show that zip closures receive higher ratings in scar appearance across multiple factors compared to traditional methods. Despite its advantages, the uptake of surgical zippers remains limited in some areas. Future advancements aim to optimize designs and material properties. The main disadvantage lies in their ineffectiveness in high-tension areas or areas with constant movement. Ultimately, surgical zip-type closures are expected to evolve into specialized tools tailored for distinct surgical requirements, expanding their use in modern surgical practices.