hohDougRN
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Dermabond would never supplement when a patient has a need for staples. In addition I haven't ever had a case where a patient suffered severe pain when removing staples. There is instrument that pops them out relatively easy. I have had a million (not literally) stiches in my life and sometimes it hurts bad when you have sigificant skin or scar overgrowth and stiches have to be pulled. Many times with large GI surgeries or cranial surgeries O vicryl sutures will be used below and then staples at the surface.