A prospective randomized trial of suture material in aural wound closure

1988 ◽  
Vol 102 (9) ◽  
pp. 788-790 ◽  
Author(s):  
D. J. Willatt ◽  
L. Durham ◽  
M. F. Ramadan ◽  
N. Bark-Jones
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Suture Material ◽  
Wound Dehiscence ◽  
Chromic Catgut ◽  
Wound Infections ◽  
Suture Materials ◽  
Factors Affecting ◽  
Monofilament Suture ◽  
Synthetic Monofilament

AbstractThe aim of the study was to compare synthetic monofilament suture materials with chromic catgut and silk in aural wound closure. Forty patients undergoing mastoidectomy or tympanoplasty were randomized to closure with either 30 PDS (Polydioxanone) to fascia plus 30 Prolene to skin, or 20 chromic catgut to fascia plus 30 silk to skin. Known or suspected factors affecting wound healing were recorded. Nine patients had post-operative wound infections. The infection rate was significantly lower in wounds closed with PDS and Prolene (χ2 = 6.05, p<.05), and in tympanoplasty operations (χ2 = 4.42, p<.05). Four patients suffered wound dehiscence, all four had been closed with catgut and silk. No other complication of wound healing was noted in the trial. In conclusion, PDS and Prolene are superior suture materials to catgut and silk in the closure of aural wounds.

scholarly journals Clinical Outcome and Wound Healing following Carpal Tunnel Decompression: A Comparison of Two Common Suture Materials

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Robert J. MacFarlane ◽  
Thomas D. Donnelly ◽  
Yousaf Khan ◽  
Syam Morapudi ◽  
Mohammad Waseem ◽  
...  
Keyword(s):  
Wound Healing ◽  
Patient Satisfaction ◽  
Carpal Tunnel ◽  
Wound Closure ◽  
Suture Material ◽  
Skin Closure ◽  
Suture Materials ◽  
Vas Scores ◽  
The Mean ◽  
The Ideal

Introduction. Debate exists amongst surgeons regarding the ideal suture material for skin closure in carpal tunnel decompression (CTD). This study compares wound related complications, patient satisfaction, and functional outcome following open carpal tunnel decompression in patients undergoing wound closure with either of two common absorbable and nonabsorbable suture types.Materials and Methods. 53 patients underwent CTD with either 4/0 polypropylene (ProleneTM,n= 28) or 4/0 polyglactin (Vicryl RapideTM,n= 25) for skin closure. QuickDASH, VAS satisfaction scores, and Southampton wound scores were assessed preoperatively and at 2 and 6 weeks postoperatively.Results. At 6 weeks the mean QuickDASH scores postoperatively were 18.54 and 17.70 for absorbable and nonabsorbable sutures, respectively, (P= 0.86). The mean VAS scores were 0.61 and 0.42 (P= 0.91), respectively. All patients achieved a Southampton wound score of 0 by 6 weeks except one, who achieved 1C in the nonabsorbable group, equivalent to mild erythema. There were no complications in either group.Conclusion. Both suture types are safe and effective materials for CTD, and we recommend surgeons to choose according to personal preference, handling properties, and resources available for suture removal.

scholarly journals Influence of surgical sutures on wound healing

2010 ◽  
Vol 63 (1-2) ◽  
pp. 7-14 ◽  
Author(s):  
Sinisa Mirkovic ◽  
Srecko Selakovic ◽  
Ivan Sarcev ◽  
Branislav Bajkin
Keyword(s):  
Soft Tissues ◽  
Wound Dehiscence ◽  
Prospective Clinical Study ◽  
Suture Materials ◽  
Monofilament Suture ◽  
Surgical Wounds ◽  
Wide Range ◽  
Surgical Sutures ◽  
Synthetic Monofilament ◽  
Selection Of

Historical data on closing and suturing of surgical wounds describe a wide range of various suture materials. The choice of the surgical catgut, i.e. the type and diameter, depends on the locality, characteristics and condition of the tissue to be treated. From the standpoint of oral-surgical practice the following clinical parameters are of outstanding importance with respect to the selection of suture material: accumulation of soft deposits on the sutures, score of the adjacent soft tissues and dehiscence of the operative wound. Our prospective clinical study included 150 patients distributed into three groups of 50 subjects. The surgical procedure performed on each patient involved resection (apicotomy) of the tooth root end in the intercanine sector of the upper jaw. The following suture materials were applied: Black Silc 5-0, Nylon 5-0 and Vicryl 5-0. The effects of the selected sutures were evaluated according to the wound dehiscence. The effects of the applied sutures were recorded on Days 2, 5 and 7 after the surgery. The comparison of cited parameters of the investigated materials after suturing the oral mucosa revealed that none of the used material was ideal; however, a certain advantage might be given to the synthetic monofilament suture materials.

Updates in Diabetic Wound Healing, Inflammation, and Scarring

2021 ◽  
Author(s):  
Nina Dasari ◽  
Austin Jiang ◽  
Anna Skochdopole ◽  
Jayer Chung ◽  
Edward Reece ◽  
...  
Keyword(s):  
Wound Healing ◽  
Disease Process ◽  
Wound Dehiscence ◽  
Diabetic Patients ◽  
Wound Infections ◽  
Diabetic Wound ◽  
Complex Process ◽  
Diabetic Wound Healing ◽  
Almost All ◽  
Diabetic Wounds

AbstractDiabetic patients can sustain wounds either as a sequelae of their disease process or postoperatively. Wound healing is a complex process that proceeds through phases of inflammation, proliferation, and remodeling. Diabetes results in several pathological changes that impair almost all of these healing processes. Diabetic wounds are often characterized by excessive inflammation and reduced angiogenesis. Due to these changes, diabetic patients are at a higher risk for postoperative wound healing complications. There is significant evidence in the literature that diabetic patients are at a higher risk for increased wound infections, wound dehiscence, and pathological scarring. Factors such as nutritional status and glycemic control also significantly influence diabetic wound outcomes. There are a variety of treatments available for addressing diabetic wounds.

Comparative study of episiotomy repair: absorbable synthetic versus chromic catgut suture material

2017 ◽  
Vol 6 (6) ◽  
pp. 2186
Author(s):  
Devika Perumal ◽  
Divya Selvaraju
Keyword(s):  
Comparative Study ◽  
Suture Material ◽  
Statistical Significance ◽  
Wound Dehiscence ◽  
Chromic Catgut ◽  
Control Group ◽  
Absorbable Suture ◽  
Perineal Laceration ◽  
Short Term ◽  
Significant Difference

Background: The choice of suture material for repair of episiotomy or perineal laceration is largely of one’s personal preference. Chromic catgut was widely used in most institutions. It now appears that chromic catgut is associated with more postpartum discomfort and hence chromic catgut has been largely replaced by synthetic absorbable materials like polyglactin and polyglycolic acid.Methods: The study was conducted in Institute of Social Obstetrics and Government Kasturba Gandhi Hospital, Chennai. This is a prospective, comparative study involving two groups. The use of a rapidly absorbing form of synthetic absorbable suture material, in the repair of episiotomy or perineal laceration in 100 patients during the study period February 2012 to July 2012, were simultaneously compared with the traditional natural absorbable suture material.Results: With the use of rapidly absorbing polyglactin 910, there was a significant reduction (p=0.000) in the short-term pain, 19 compared to 80 in the control group. With regard to wound dehiscence and the need for resuturing, there was statistically significant difference in the control group (15%) compared to the study group (0%). There was no statistical significance between the two groups in terms of dyspareunia (12.4% vs 10.7%).Conclusions: Fast-absorbing form of Polyglactin seems to be effective in reducing some of the morbidity associated with perineal repair following childbirth. There was significant reduction in the short-term pain and the need for analgesia. The incidence of wound dehiscence was markedly reduced.

scholarly journals PREVENTION OF SURGICAL SITE INFECTIONS BY USING ANTIBACTERIAL SUTURE MATERIAL

2017 ◽  
pp. 13-19
Author(s):  
A. S. Kniaziuk
Keyword(s):  
Wound Healing ◽  
Suture Material ◽  
Surgical Site Infections ◽  
Promising Method ◽  
Complex Task ◽  
Wound Infections

The development of surgical site infections (SSI) considerably aggravates the course of wound healing. In this regard, prevention of wound infections is an important and complex task of surgery. The application of antibacterial suture material is a very promising method for reducing the risk of surgical site infections.

scholarly journals Absorbable synthetic versus catgut suture material for episiotomy repair

2021 ◽  
Vol 10 (9) ◽  
pp. 3516
Author(s):  
Shashikala H. Gowda ◽  
Rakshitha B.
Keyword(s):  
Suture Material ◽  
Wound Dehiscence ◽  
Chromic Catgut ◽  
Short Term ◽  
Catgut Suture ◽  
Surgical Incision ◽  
Perineal Repair ◽  
Group A ◽  
Group B ◽  
Made In

Background: Episiotomy is a planned surgical incision made in perineum during childbirth. The type of suture material used for perineal repair following episiotomy will have effect on the intensiy of the pain experienced by mother. The objective of the present study is to determine the effects of rapide vicryl and catgut suture material on the amount of short term pain experienced by mother and to assess the amount of analgesia used following episiotomy suturing.Methods: Women with episiotomy cut was divided into two groups: group A consisted of episiotomy repair with catgut and group B with rapide vicryl. Following episiotomy pain will be assessed by visual analogue scale.Results: In KIMS hospital Bangalore - there was significant reduction in short term pain by vicryl rapide compared to chromic catgut and the need for analgesia.Conclusions: Vicryl rapide is effective in reducing the morbidity associated with episiotomy repair. There was significant reduction in short term pain and the need for analgesia, with decrease incidence of wound dehiscence. 

scholarly journals Influence of different types of surgical suture material on the intensity of tissue reaction in oral cavity

2008 ◽  
pp. 91-99
Author(s):  
Sinisa Mirkovic ◽  
Ljubisa Dzambas ◽  
Srecko Selakovic
Keyword(s):  
Suture Material ◽  
Oral Surgery ◽  
Fibrous Tissue ◽  
Tissue Reaction ◽  
Routine Practice ◽  
Suture Materials ◽  
Experimental Conditions ◽  
Monofilament Suture ◽  
Surgical Suture ◽  
Basic Features

Throughout the history the most diverse suture material have been used for closing and suturing surgical wounds. The four basic features of suture material are described: knot safety, stretch capacity, tissue reactivity and wound safety. Tissue reaction, even the minimum one, which develops during the first to seven days after applying the suture in the tissue. The aim of this study was to investigate influence of a monofilament suture material (nylon) on the intensity of local tissue reaction in experimental conditions, and to compare it with the multifilament suture used in the routine practice of oral surgery (silk). This investigation is a prospective experimental study carried out on Wistar rats. The experiment included 30 animals, in which Black Silk (thickness 4-1) and Nylon (thickness 4-0) were applied in the upper and lower jaw, respectively. To monitor tissue reaction on different suture materials the following parameters were used: coagulum formation, presence of polymorphonuclear leukocytes, presence of macrophages and granuloma, formation of epithelial bridge and connective tissue, collagen synthesis, granulomatous tissue formation and presence of fibrous tissue. After comparing parameters for the intensity of tissue reaction to the investigate suture materials by suturing the oral mucosa, certain advantage could be given to the monofilament suture materials.

scholarly journals Analysis of the effectiveness of wound closure techniques among surgeons and emergency physicians in Mecca  Hospitals: Retrospective Cohort Study.

2020 ◽  
Author(s):  
Jeehad Mansour Felemban ◽  
Kenan Binyaseen ◽  
Waleed Almalki ◽  
Fahad Altowairqi ◽  
Amer Sakhakhini ◽  
...  
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Emergency Physicians ◽  
Medical Specialties ◽  
Factors Affecting ◽  
Wound Closure Techniques ◽  
Vertical Mattress ◽  
Materials Used ◽  
Strongly Agree ◽  
High Level

Abstract Objective: Wound suturing is a procedure performed at many medical specialties. This study aims to analyze the effectiveness of wound closure techniques by recognizing the common suturing techniques and materials used in different types of wounds among surgeons and emergency physicians in Mecca hospitals and assessing their awareness about the factors contributing to scars formation and improper wound healing.Result: Choosing the simple interrupted technique exceeded 50% among all other types of studied wounds. The other most common techniques among participants were the subcuticular and vertical mattress, respectively, also using stapler was limited to some wound types. This study showed a high level of awareness among participants with significant p-values (P<0.05) of Strongly agree and Agree regarding the essential factors affecting wound healing and scars formation. The result gives an insight into the most common suture techniques and materials used in wound closure. There are wide variations in selecting these techniques and materials among the participants. Also, it showed that there is good awareness among participants about factors that lead to scar formation.

Surgical wounds in reduction mammoplasty: a comparison of Monocryl and Prolene sutures on scars

2021 ◽  
Vol 30 (8) ◽  
pp. 626-630
Author(s):  
Ezzatollah Rezaei ◽  
Hamed Farhadi ◽  
Saeedeh Hajebi Khaniki ◽  
Hamzeh Zarei ◽  
Yavar Shams Hojjati
Keyword(s):  
Wound Healing ◽  
Suture Material ◽  
Reduction Mammoplasty ◽  
Suture Materials ◽  
Scar Assessment ◽  
Surgical Wounds ◽  
Significant Difference ◽  
Prolene Suture ◽  
Materials Used ◽  
The One

Objective: The type of suture material affects the quality of scars. The aim of this study was to find the superior suture material for reduction mammoplasty between Prolene and Monocryl based on the comparison of scars. Method: A prospective observational study was conducted at a university-based hospital in Mashhad, Iran between October 2015 and September 2017. Monocryl and Prolene suture materials, used for closing the outermost layer in mammoplasty, were compared. Patients' incision scars were assessed objectively according to the Patient and Observer Scar Assessment (POSAS) criteria. The relevant CONSORT guideline was used for reporting this study. Results: Seventy-eight women with a mean age of 36.8±9.5 years were entered into the study. The frequency of wound healing in both groups was 97.4% 1 month after surgery and by the third visit, 3 months after surgery, only one patient had a stretched scar. Moreover, wound inflammation in the first two visits was less frequent in the Prolene group that healed completely 3 months after surgery (after excluding the one patient with wide scar inflammation). The frequency of itching of the wound in the Monocryl group was 24.4%, 11.5% and 12.8% in the three follow-up visits, respectively, and the values for the Prolene group were 24.4%, 9.0% and 6.4%, respectively. No significant difference was seen between the two groups in terms of wound healing, inflammation and itching (p>0.05). Overall, 94.8% of patients were satisfied with the surgery. Conclusions: Our study revealed that there was no significant difference between Monocryl and Prolene. Hence, either of the two suture materials can be used for wound closure in reduction mammoplasty.

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