Application of a novel zipper device in wound healing after incision and drainage of cutaneous abscesses in children

Wei Bingting, Yang Chen, Xie Mingjing, Xiong Yang, Wu Tingting, Zhang Xuebing

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Journal of Chongqing Medical University ›› 2025, Vol. 50 ›› Issue (05) : 674-681. DOI: 10.13406/j.cnki.cyxb.003739
Clinical research

Application of a novel zipper device in wound healing after incision and drainage of cutaneous abscesses in children

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Abstract

Objective To investigate the application effect of a novel zipper device in wound healing after incision and drainage of cutaneous abscesses in children，and to explore its optimal intervention timing. Methods A total of 50 children who attended the outpatient service of Department of Pediatric surgery from September 2023 to September 2024 were enrolled and divided into two groups according to the parity of the date of visit. The 26 children with the odd date of visit were enrolled as experimental group，and the 24 children with the even date of visit were enrolled as control group. The same anti-infective dressings were used for wound dressing in both groups after incision and drainage，and when there was a significant reduction in wound exudate and the fresh granulation tissue emerged at wound base，the zipper device was used for the children in the experimental group，and dressing change was performed for the children in the control group until the wound was completely healed. The two groups were compared in terms of wound healing time，healing rate，and the total costs of dressing change，and the multiple linear regression model and the restricted cubic spline （RCS） model were used to analyze the association between the intervention time of the zipper device and wound healing time. Results Compared with the control group，the experimental group had a significantly shorter wound healing time，a significantly higher wound healing rate，and significantly lower total costs of dressing change（P<0.001）. The multiple linear regression model showed that the infection size of skin abscess and the intervention time of the zipper device were strongly associated with wound healing time （P<0.05）. After adjustment for infection size，the RCS model analysis showed a significant linear dose-response relationship between intervention time and wound healing time （Pnonlinear=0.406），and wound healing time shortened with the reduction in intervention time （P<0.001）. Conclusion The application of the novel zipper device can help with the healing of cutaneous abscesses in children，and it is recommended to apply the device as early as possible after control of wound infection，in order to promote early wound healing.

Key words

novel zipper device / cutaneous abscesses in children / wound care / restricted cubic spline

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Wei Bingting , Yang Chen , Xie Mingjing , et al . Application of a novel zipper device in wound healing after incision and drainage of cutaneous abscesses in children. Journal of Chongqing Medical University. 2025, 50(05): 674-681 https://doi.org/10.13406/j.cnki.cyxb.003739

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