A randomized ‘N-of-1’ single blinded clinical trial of barbed dermal sutures vs. smooth sutures in elective plastic surgery shows differences in scar appearance two-years post-operatively

Koide, Satomi; Smoll, Nicolas R.; Liew, Jacynth; Smith, Katrina; Rizzitelli, Alexandra; Findlay, Michael W.; Hunter-Smith, David James

doi:10.1016/j.bjps.2015.03.015

Cited by 21 publications

(8 citation statements)

References 11 publications

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“…Scar cosmesis in wounds closed with unidirectional barbed sutures is also comparable or superior to that of standard sutures in studies involving blinded evaluators [4, 11]. The results of our study similarly suggest that, at 3, 6, and 12 months postoperatively, there is no significant difference in mean cosmesis scores between wounds closed with barbed sutures and wounds closed with standard sutures.…”

Section: Discussionsupporting

confidence: 75%

A Comparison of Barbed Sutures and Standard Sutures with regard to Wound Cosmesis in Panniculectomy and Reduction Mammoplasty Patients

Aliano

Trostler

Fromm

et al. 2016

Plastic Surgery International

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Cosmesis is a vital concern for patients undergoing plastic and reconstructive surgery. Many variations in wound closure are employed when attempting to minimize a surgical scar's appearance. Barbed sutures are one potential method of achieving improved wound cosmesis and are more common in recent years. To determine if barbed sutures differ from nonbarbed in wound cosmesis, we conducted a single-blinded, randomized, controlled trial of 18 patients undergoing bilateral reduction mammoplasty or panniculectomy. Patients were their own controls, receiving barbed sutures on one side and standard sutures on the contralateral side. Surgical scars were evaluated postoperatively by patient preference self-assessment and an observer. Ten patients were evaluated at 3 months postoperatively, yielding a mean Stony Brook Scar Evaluation Scale (SBSES) rating of 4.4 for barbed suture and 3.5 for regular suture (p = 0.15). At 6 months, 8 patients performed self-assessment to determine their preference; 4 preferred the barbed sutures, 1 preferred the regular sutures, and 3 had no preference. Further research with larger sample sizes is needed to determine if barbed sutures convey any advantage over standard sutures in wound healing. However, our results suggest that barbed sutures are a reasonable alternative to standard sutures particularly with regard to wound cosmesis.

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Section: Discussionsupporting

confidence: 75%

A Comparison of Barbed Sutures and Standard Sutures with regard to Wound Cosmesis in Panniculectomy and Reduction Mammoplasty Patients

Aliano

Trostler

Fromm

et al. 2016

Plastic Surgery International

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“…Decreased width of scar leads to a better aesthetic outcome. A study by Koide et al displayed a significantly better aesthetic outcome in the barbed suture group than nonbarbed suture group [3]. But in our study, there was no statistically significant difference in scar cosmesis as compared by Vancouver scar scale and POSAS (observer and patient scar scale) between the barbed and the non-barbed suture groups.…”

Section: Discussioncontrasting

confidence: 82%

“…In our study the time taken for barbed suture was less than conventional absorbable sutures and the difference was statistically significant. Similar results were seen in studies done by Koide et al, Kristen Aliano et al, Grigoryants et al, Jeremy P. Warner et al and Blacam et al [3,4,[7][8][9]. Jandali et al, found that using barbed sutures reduced the operative time of unilateral breast reconstruction significantly, but no significant difference was seen in the operative time of bilateral breast reconstruction [10].…”

Section: Discussionsupporting

confidence: 81%

Expect the Unexpected with Erector Spinae Plane Block in Spine Surgery - Plan for the Worst and Hope for the Best: An Anesthesiologist Perspective

Sonawane

2022

JHNSS

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Introduction: Barbed sutures have the potential advantage of decreased operative time and better wound cosmesis due to bidirectional fixation of wound. Present study evaluates the complications and scar cosmesis after skin closure with barbed sutures. Material and Methods:This was a prospective, observational study. Patients underwent subcuticular skin suturing in surgically created clean wounds. Half of the wound closure was done with barbed absorbable suture and other half with non-barbed absorbable sutures. Comparison of scar cosmesis and wound complications was done.Results: Mean time taken for suturing per cm of wound was lower in barbed suture group. Suture extrusion rate was higher in barbed suture group. No statistically significant difference was found between cosmesis of scar and rates of infection between the two groups. Conclusion:The current study did not find any added advantage of using barbed sutures over and above conventional sutures in terms of cosmesis of scar. The only advantage was that of decreased operative time

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“…Koide et al described how barbed sutures can produce better aesthetic outcomes compared to smooth sutures in regards to the final appearance of the scar. 16 A disadvantage of this method is the fairly high cost of barbed sutures. However, this technique is cost-effective in This may partially offset this increased cost.…”

Section: Advantages and Disadvantages Of This Techniquementioning

confidence: 99%

A Four-Layer Wound Closure Technique with Barbed Sutures for Stable Reset of the Inframammary Fold in Breast Augmentation

Montemurro¹,

Avvedimento²,

Hedén³

et al. 2016

Aesthet Surg J

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A randomized ‘N-of-1’ single blinded clinical trial of barbed dermal sutures vs. smooth sutures in elective plastic surgery shows differences in scar appearance two-years post-operatively

Cited by 21 publications

References 11 publications

A Comparison of Barbed Sutures and Standard Sutures with regard to Wound Cosmesis in Panniculectomy and Reduction Mammoplasty Patients

A Comparison of Barbed Sutures and Standard Sutures with regard to Wound Cosmesis in Panniculectomy and Reduction Mammoplasty Patients

Expect the Unexpected with Erector Spinae Plane Block in Spine Surgery - Plan for the Worst and Hope for the Best: An Anesthesiologist Perspective

A Four-Layer Wound Closure Technique with Barbed Sutures for Stable Reset of the Inframammary Fold in Breast Augmentation

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