Aesthetic outcome and complications of simple interrupted versus running subcuticular sutures in facial surgery: A randomized controlled trial

Liu, Xiaomeng; Nelemans, Patty J.; Frenk, Lisa D.S.; Sengers, Helma; Tuinder, Stefania; Steijlen, P.M.; Mosterd, Klara; Kelleners‐Smeets, Nicole W.J.

doi:10.1016/j.jaad.2017.04.1128

Cited by 15 publications

(17 citation statements)

References 17 publications

(19 reference statements)

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“…(3) However, subcuticular suture technique which resembles the second most common technique in our study is used more frequently in breast and facial wound, the literature showed that this technique is used more than the traditional simple interrupted to enhance the cosmetic result and showed its effectiveness, it is also useful for closing wounds with equal tissue thickness in which virtually no tension exists. (6,9) Another suture technique is vertical mattress suture which was the third most common technique in this study and used more frequently in buttock wound, also the literature showed that it is a very common technique and useful in maximizing the wound eversion, reducing dead space and minimizing tension across the wound. 3The use of staplers in the closure of scalp wounds have more advantages than simple suture in regards to patient satisfaction, wound healing, and treatment cost.…”

Section: Discussionmentioning

confidence: 83%

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WITHDRAWN: Analysis of the effectiveness of wound closure techniques among surgeons and emergency physicians in Mecca Hospitals: Retrospective Cohort Study

Felemban

Binyaseen

Almalki

et al. 2020

Preprint

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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 that used in different type of wounds among surgeons and emergency physicians and to assess the rate of scars formation among their patients in-Mecca City Hospitals, Saudi Arabia.Results:Every participant selects and prefers some methods in wound closure over other methods. Choosing the simple interrupted technique exceeded 50% for all types of studied wounds. The other most common techniques among participants were subcuticular and vertical mattress respectively, also using stabler was limited to some wound types with less percentage than other suture techniques. Regarding suturing material, there are many materials alternatives were selected for the studied wounds such as 23% of participants used Monocryl for eyelid wounds, and 6% for breast wounds, also 9% of participants were using Polypropylene for scalp wounds and 8% for eyelids wounds. This study showed a high level of awareness among participants with a significant p-values regarding the important factors affecting wound healing and scare formation.

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Section: Discussionmentioning

confidence: 83%

“…Other studies showed that cosmetic pleasing and patient satisfaction which they signi cantly better in the running horizontal matters and running subcuticular sutures technique than the traditional simple interrupted-are considered as important factors that assess the effect of the suture technique. (6,7,8).…”

Section: Introductionmentioning

confidence: 99%

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

Felemban

Binyaseen

Almalki

et al. 2020

Preprint

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show abstract

“…literature showed that this technique is used more than the traditional simple interrupted to enhance the cosmetic result and proved its effectiveness, it is also useful for closing wounds with equal tissue thickness in which virtually no tension exists. (7,10) Another suture technique is vertical mattress suture, which was the third most common technique in this study and used more frequently in the buttock wound. The literature also showed that it is a widespread technique and useful in maximizing the wound eversion, reducing dead space, and minimizing tension across the wound.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies showed that cosmetic pleasing and patient satisfaction, which they are signi cantly better in the running horizontal matters and running subcuticular sutures technique than the traditional simple interrupted, are considered essential factors that assess the effect of the suture technique. (7,8,9).…”

Section: Introductionmentioning

confidence: 99%

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

Felemban

Binyaseen

Almalki

et al. 2020

Preprint

View full text Add to dashboard Cite

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.

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“…A randomized controlled, multicenter trial compared Patient and Observer Scar Assessment Scale (POSAS) scores and complication rates for simple interrupted versus running subcuticular sutures in facial surgery. Although both techniques resulted in the same POSAS score, running subcuticular sutures were often associated with hyper-or hypoesthesia (48). Sklar et al (49) investigated wound outcomes and aesthetics in 56 patients with fusiform wounds > 3 cm localized to the head or neck to compare running cutaneous sutures spaced at 2 and 5 mm apart.…”

Section: Myth 8: Linear Wound Closures Heal With Minimal Scarring Andmentioning

confidence: 99%

Dispelling myths in dermatologic surgery

Ghias

Shamloul

Khachemoune

2019

Acta Dermatovenerologica Alpina Pannonica Et Adriatica

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cal edema, warmth, or erythema at the procedural site (4). Risk assessments guide the appropriate use of prophylaxis based on procedural type, location, duration, initial condition, and patient health status (3). High-risk cardiac patients and individuals with prosthetic joints should receive prophylactic antibiotics for procedures that involve infected skin or breaching of the oral mucosa (5). Recent guidelines reported that the risk of infective endocarditis from bacterial exposure during daily activities is greater than the risk associated with specific procedures. The greatest change in prophylaxis guidelines redefined the high-risk population as patients with a history of infective endocarditis, prosthetic valve, cardiac transplant with persistent valvulopathy, prosthetic device repaired in the last 6 months, and congenital heart defect. These modifications eliminate 90% of patients who would receive prophylaxis based on the previous guidelines (3). Antibiotics may also be warranted for surgeries of the lower extremities or groin, wedge excisions of the lip or ear, nasal skin flaps, skin grafts, and severe inflammatory skin disease (6, 7). Numerous studies have demonstrated that antibiotic prophylaxis does not reduce the risk of SSI for uncomplicated dermatologic procedures (8-10). Due to the low risk of infection in dermatologic procedures and increasing rate of antimicrobial resistance, prophylactic antibiotics should be reserved for patient-specific circumstances and for procedures with > 5% risk of SSI.

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Aesthetic outcome and complications of simple interrupted versus running subcuticular sutures in facial surgery: A randomized controlled trial

Cited by 15 publications

References 17 publications

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

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

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

Dispelling myths in dermatologic surgery

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