Staple and Stitch-An Unconventional Application of Noncutting Staples for a Novel Muscle Repair Technique.

Muscle repair can be a frustrating endeavor. When stitches are thrown, surgeons frequently experience tearing through the muscle or tendinous substance, which inadvertently causes more bleeding, injury, and poor tissue hold with more unpredictable scarring and fibrosis. A myriad of suturing techniques has been proposed for muscle repair. However, such techniques can be confusing to replicate and are often strangulating to tissues. Our institution presents a novel technique that is easily replicable, minimizes tissue strangulation, and provides a good, reliable foothold to place our stitches without tearing through, which will be detailed in the following paper. The described technique has been performed in our institution over a multitude of cases, most prominently in our experience with abdominal wall reconstruction.