![]() 7 Several publications also suggested a decrease in wound infections when using tape instead of sutures for outer layer closure particularly in contaminated wounds, 16, 17 but organic suture material at the time was associated with more infection than synthetic suture material. 14, 15 Its elastic yet adhesive properties even when moistened makes it well tolerated by most patients and provides strength without blistering. 8– 13 Microporous tape gained popularity because its structure allows sufficient moisture to evaporate to create a favorable microenvironment for the skin, with less bacterial proliferation than under occlusive barriers. Enthusiastic reports followed in the early 1960s. 7 The Minnesota, Mining and Manufacturing Company (3M) succeeded in the mid-1950s in developing a well-tolerated hypoallergenic acrylate adhesive, 7 which in combination with a microporous nonwoven layer of rayon fibers led to the introduction of the microporous adhesive surgical tape. ![]() 6Īdhesive bandaging materials have been used throughout medical history but have been associated with skin irritation and hypersensitivity reactions. ![]() Gillman subsequently promoted the closure of surgical wounds with regular tape from the local stationary store, claiming that as this tape contained both phenol and latex, it was virtually self-sterilizing, and that no infections were observed. Elek and Conen 5 showed that the multiple skin penetrations of suturing and the presence of foreign material increased the risk of wound infection. Sutureless closure of surgical excisions was initially promoted in the 1950s, as Gillman et al 4 demonstrated the epithelial downgrowth that occurs along sutures, resulting in unsightly scarring. Scientific Rationale behind Unsterile Surgical Adhesives
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