Zip-Type Skin Closure Device: Care Instructions

A zip-type skin closure device is a gentler way to close a surgical wound. It doesn't use surgical staples or sutures (stitches). Instead, adhesive strips are placed on both sides of the wound to keep it closed. Zip ties also cross the wound and are linked in a zigzag pattern.

It's often used after surgeries such as a total knee replacement or surgery in the digestive system. The device may be worn for 2 weeks before it's removed by your doctor.

• Change the bandage daily.
• Check your incision daily.
• Keep your incision clean and dry for the first few days.
• Don't put cream or ointment on your incision.
• Talk with your doctor about showering. In general, follow these tips for showering with a zip-type skin closure:
  • Cover the incision with plastic wrap during the first few days after surgery.
  • Shower as usual a few days after surgery.
  • Don't scrub the incision.
  • After your shower, pat the incision dry.
  • Let the incision air-dry for 10 minutes before you put on a new dressing.
• Avoid baths and swimming until your doctor says it’s okay.
• Keep a bandage in place until the wound has healed. This may take 7 to 14 days.
• Talk to your doctor about when and how the zip closure will be removed.

Contact your doctor now or seek care right away if you have:

• Pain that does not get better after you take your prescribed pain medicine.
• Symptoms of infection, such as:
  • Increased pain, swelling, warmth, or redness around the incision.
  • Red streaks leading from the incision.
  • Pus draining from the incision.
  • A fever.
• Active bleeding coming from the incision.
• A device that's peeling off, or the incision edges are separating.
• Concerns about your incision.