Comparison of continuous intradermal with simple interrupted suture pattern: an experimental study in dogs

Gouletsou, P.G.; Prassinos, N. N.; Papazoglou, Lysimachos G.; Kostoulas, Polychronis; Galatos, Apostolos D.

doi:10.1016/j.tcam.2020.100454

Cited by 6 publications

(68 citation statements)

References 26 publications

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“…First, 7, 14, 28, 180, 365, 730, and 1095 days after surgery [ 1 , 6 , 18 , 19 ], tissue samples [ 20 ] were taken from the incisions by means of punch biopsy. In total, 7 samples were obtained from each wound, as detailed herein.…”

Section: Methodsmentioning

confidence: 99%

“…After collection, the tissue samples were bisected, under magnification, in a perpendicular plane to the incision. The tissue samples were then prepared for histological examination by using standard procedures [ 1 , 5 , 9 ].…”

Section: Methodsmentioning

confidence: 99%

“…Suturing for the primary closure of wounds intends to approximate the edges of tissues, aiming to form a functional and cosmetically acceptable wound scar. Recent studies have highlighted the importance of continuous intradermal suturing pattern for cosmetically effective skin closure [ 1 , 2 , 3 , 4 , 5 ]. However, in a study performed over time, which evaluated healing of wounds sutured with intradermal suture pattern [ 1 ], it has been observed that appearance of wounds could deteriorate subsequently to the first month post-operatively, possibly due to the irritation of the skin caused by the suture material [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies have highlighted the importance of continuous intradermal suturing pattern for cosmetically effective skin closure [ 1 , 2 , 3 , 4 , 5 ]. However, in a study performed over time, which evaluated healing of wounds sutured with intradermal suture pattern [ 1 ], it has been observed that appearance of wounds could deteriorate subsequently to the first month post-operatively, possibly due to the irritation of the skin caused by the suture material [ 1 ]. The choice of suture material for skin closure can potentially affect the final cosmetic outcome, the risk of wound infection, and other complications.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, controlled evaluations comparing continuous intradermal suturing, performed with various suture materials, are limited [ 3 , 5 , 6 , 7 , 8 , 9 , 10 , 11 ]. Moreover, among these, in only a few the suturing technique was assessed by applying objective clinical criteria or histological evaluation [ 1 , 9 , 10 , 12 , 13 ]. The impact of a rapidly absorbable suture used during intradermal suturing has been studied in humans [ 14 , 15 , 16 ] and rats [ 17 ]; nevertheless, no studies are available highlighting the potential impact of rapidly absorbable sutures on the cosmetic outcomes of intradermal suturing in dogs.…”

Section: Introductionmentioning

confidence: 99%

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A Controlled Trial of Polyglytone 6211 versus Poliglecaprone 25 for Use in Intradermal Suturing in Dogs

Gouletsou

Prassinos

Papazoglou

et al. 2021

Animals

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The objective of this work was the comparative evaluation of the healing process after employing 4/0 poliglecaprone 25 and 4/0 polyglytone 6211 in a continuous intradermal suture pattern. Ten Beagle dogs were used, in which skin incisions were created surgically and subsequently were sutured by means of continuous intradermal pattern using polyglytone 6211 or poliglecaprone 25 suture. Cosmetic, clinical, and histologic scores were evaluated. The cosmetic appearance of the wounds was blindly evaluated on days 7, 14, 28, 180, 360, 730, and 1095. On the same days, tissue biopsy was performed for histological evaluation. Clinical evaluation was performed initially daily, then weekly, monthly, and finally yearly, till day 1095. The clinical appearance of the intradermal pattern with both sutures was initially very good, deteriorated in the second post-operative month and thereafter improved. The cosmetic, clinical, and histological differences between the two suture materials were minimal and statistically insignificant. Polyglytone 6211 is sufficient for use in intradermal suturing in dogs. However, its earlier absorption compared to poliglecaprone 25 did not have any beneficial effect on cutaneous wound healing and scar appearance in the experimental animals.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Controlled Trial of Polyglytone 6211 versus Poliglecaprone 25 for Use in Intradermal Suturing in Dogs

Gouletsou

Prassinos

Papazoglou

et al. 2021

Animals

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Skin repair and infection control in diabetic, obese mice using bioactive laser-activated sealants

Pallod,

Aguilera Olvera,

Ghosh

et al. 2024

Biomaterials

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Comparing running vs interrupted sutures for skin closure: A systematic review and meta‐analysis

Luo

Tao

Wang

et al. 2022

International Wound Journal

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Continuous sutures and interrupted sutures have been widely applied to skin closure after non‐obstetric surgery or traumatic wounds. Usually, continuous sutures were divided into transdermal or subcuticular sutures according to whether the stitches were placed through or below the epidermal layer. Interrupted sutures, on the other hand, involved penetration of the loose connective tissue beneath the skin layers, with stitches placed through the external skin layer. Complications including infection, dehiscence, and poor cosmetic appearance were not rare after suturing. Whether a suture method is a suitable option for rapid wound healing and long‐term cosmetic appearance remains controversial. To examine the potential benefits and harms of continuous skin sutures vs interrupted skin sutures in non‐obstetric surgery or traumatic wounds. Searching websites such as PubMed, the Cochrane Central Library, Web of Science and Embase, and http://clinicaltrials.gov were systematically searched up to 5 January 2022 and were assessed and guided by Preferred Reporting Items for Systematic Reviews and Meta‐analysis rules as well as guidelines. All relevant randomised controlled studies comparing continuous sutures with interrupted sutures of skin closure were analysed. The suture techniques and material used in each trial were recorded. The transdermal and subcuticular continuous sutures were separately compared with interrupted sutures in the subgroup analysis of dehiscence and cosmetic appearance because the visual appearance of these two continuous suturing techniques was significantly different. Ten studies including 1181 participants were analysed. Subcuticular continuous sutures had comparatively higher visual analogue scale (VAS) scores among patients and doctors than interrupted sutures (OR = 0.27, 95% Confidence Intervals [CI] = 0. 07‐0.47, P < .01). Similarly, priority was found regarding transdermal continuous sutures and interrupted sutures (OR = 0.40, 95% CI = 0.21‐0.60, P < .01). Five randomised controlled trials (RCTs) demonstrated relevant data about dehiscence events. The incidence of continuous suture was significantly lesser than that of interrupted suture (OR = 0.16, 95% CI = 0.07‐0.37, P < .01). There was no significant difference between the infection events rates of two suture methods (OR = 0.69, 95% CI = 0.40‐1.21, P = .62, I2 = 0%). This systematic review indicated the superiority of both transdermal and subcutaneous continuous sutures over interrupted sutures in skin closure in terms of wound healing and cosmetic appearance.

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Comparison of continuous intradermal with simple interrupted suture pattern: an experimental study in dogs

Cited by 6 publications

References 26 publications

A Controlled Trial of Polyglytone 6211 versus Poliglecaprone 25 for Use in Intradermal Suturing in Dogs

A Controlled Trial of Polyglytone 6211 versus Poliglecaprone 25 for Use in Intradermal Suturing in Dogs

Skin repair and infection control in diabetic, obese mice using bioactive laser-activated sealants

Comparing running vs interrupted sutures for skin closure: A systematic review and meta‐analysis

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