Continuous versus interrupted skin sutures for non-obstetric surgery

Gurusamy, Kurinchi Selvan; Toon, Clare D; Allen, Victoria B; Davidson, Brian R

doi:10.1002/14651858.cd010365.pub2

Cited by 27 publications

(18 citation statements)

References 74 publications

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“…This kind of sutures retains approximately 50 to 75% of their original tensile strength after 1 week in situ. This extra support for the wound after 1 week may be the main reason for the difference between the continuous suture group and the interrupted suture group regarding the development of superficial wound dehiscence [19]. Conclusions of the meta-analysis were that superficial wound dehiscence may be reduced by using continuous subcuticular sutures and that continuous or interrupted skin closure does not have any impact on the development of superficial SSI and on the length of hospital stay.…”

Section: Resultsmentioning

confidence: 93%

“…In a Cochrane meta-analysis [19] published in 2014 and focused on the impact that different methods of skin closure could have on superficial SSI, superficial wound dehiscence, and length of hospital stay, only five RCTs comparing continuous versus interrupted sutures were identified. The five RCTs included a total of 827 participants undergoing abdominal or groin operations (nonobstetric surgery) [19][20][21][22][23]. Most of the enrolled patients were children or adolescents, and appendectomy was the most performed surgery.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines

Simone¹,

Sartelli

Coccolini

et al. 2020

World J Emerg Surg

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Background: Surgical site infections (SSI) represent a considerable burden for healthcare systems. They are largely preventable and multiple interventions have been proposed over past years in an attempt to prevent SSI. We aim to provide a position paper on Operative Room (OR) prevention of SSI in patients presenting with intraabdominal infection to be considered a future addendum to the well-known World Society of Emergency Surgery (WSES) Guidelines on the management of intra-abdominal infections. Methods: The literature was searched for focused publications on SSI until March 2019. Critical analysis and grading of the literature has been performed by a working group of experts; the literature review and the statements were evaluated by a Steering Committee of the WSES.Results: Wound protectors and antibacterial sutures seem to have effective roles to prevent SSI in intra-abdominal infections. The application of negative-pressure wound therapy in preventing SSI can be useful in reducing postoperative wound complications. It is important to pursue normothermia with the available resources in the intraoperative period to decrease SSI rate. The optimal knowledge of the pharmacokinetic/pharmacodynamic characteristics of antibiotics helps to decide when additional intraoperative antibiotic doses should be administered in patients with intra-abdominal infections undergoing emergency surgery to prevent SSI.Conclusions: The current position paper offers an extensive overview of the available evidence regarding surgical site infection control and prevention in patients having intra-abdominal infections.

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines

Simone¹,

Sartelli

Coccolini

et al. 2020

World J Emerg Surg

View full text Add to dashboard Cite

show abstract

“…55 It included 5 randomized controlled trials and a total of 827 participants. 55 It included 5 randomized controlled trials and a total of 827 participants.…”

Section: Laparotomy Closure and Infectionsmentioning

confidence: 99%

Surgical Site Infections in Gynecology

Black¹,

Haydu²,

Fan³

et al. 2014

Obstetrical &Amp; Gynecological Survey

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“…Subcuticular sutures have shown to have fewer problems than interrupted sutures in wound closure. 4 In an audit of 147 patients in our unit the fistula rate was shown to fall to 6%. However, these three cases may be the start of a new trend.…”

Section: Discussionmentioning

confidence: 81%