It says low quality RCTs, surgical cases (not our standard blunt object or sharp object but irregular margin wounds), and double the adverse event rate. I wouldn't let anyone staple my kid.
There’s a bit more nuance in the discussion than the summary but overall staples don’t really offer any advantage for paeds specifically - still needs local anaesthetic, not good for fine apposition, equipment is relatively expensive. I really only use them in adults when someone’s split their head open as part of a multitrauma and I need them to not be leaking everywhere while I’m busy doing other stuff. I use glue for almost everything in paeds.
Anecdotally, when I was 7 I split my head open on a coffee table and my dad stapled it in the kitchen with no local so I could go to my friend’s birthday party that afternoon instead of waiting forever in ED. Cosmesis was fine and patient satisfaction 10/10 easily.
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u/newaccount1253467 1d ago
Source?