Dermatological surgery: an update on suture materials and techniques. Part 2

Butt, Eman; Ashraf, Iqra; Veitch, David; Wernham, Aaron

doi:10.1111/ced.14812

Cited by 4 publications

(4 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One study compared the Donati technique and the subcuticular suture technique, with better short-term assessment by patients towards the subcuticular technique, but no significant differences were obtained for observers [39]. These results are consistent with a previous systematic review, according to which subcuticular sutures may be preferable to interrupted sutures; however, the available research still has many limitations for establishing particular recommendations [59,60].…”

Section: Discussionsupporting

confidence: 72%

Treatment and Improvement of Healing after Surgical Intervention

Bueno,

Nevado-Sanchez,

Pardo-Hernández

et al. 2023

Healthcare

View full text Add to dashboard Cite

The development of abnormal scars has a great impact on people’s well-being, and improving scarring outcomes after surgery is a field that currently lacks consensus. This review aims to identify newly researched approaches to improving the quality of surgical scars. A systematic search of PubMed, Scopus, Web of Science, and ScienceDirect was conducted between 13 May 2023 and 17 May 2023, in accordance with the recommendations of the PRISMA Statement. Study selection and analysis of methodological quality were performed in parts, independently and blindly, based on eligibility criteria. The 21 prospective, comparative, and randomized studies reviewed included 1057 subjects and studied approaches such as topical applications of creams with herbal extracts and silicone gels, growth factors, negative pressure dressings, oligonucleotides, intralesional injection of compounds such as botulinum toxin, skin closure techniques such as suturing and tissue adhesive, and laser treatments. There are recent research techniques that generate good results and are really promising to improve the results of surgical scars; however, the available evidence is extremely limited in some cases, and it is necessary to deepen its analysis to obtain reliable action protocols in each type of surgery.

show abstract

Section: Discussionsupporting

confidence: 72%

Treatment and Improvement of Healing after Surgical Intervention

Bueno,

Nevado-Sanchez,

Pardo-Hernández

et al. 2023

Healthcare

View full text Add to dashboard Cite

show abstract

“…Once infection occurs, the whole stitch needs to be removed, hindering the healing process. 25 , 26 , 27 Pus could be drained by selectively removing a single stitch in interrupted sutures.…”

Section: Discussionmentioning

confidence: 99%

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

Luo

Tao

Wang

et al. 2022

International Wound Journal

View full text Add to dashboard Cite

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.

show abstract

“…In addition, the traditional braided surgical threads, such as nonabsorbable silk and absorbable Vicryl, are prepared by twisting several monofilaments using different weaving methods . This conjugated fiber structure of the threads is conducive to adjusting the diameter and enhancing the mechanical properties of the resultant thread.…”

Section: Introductionmentioning

confidence: 99%

Bioinspired, Robust, and Absorbable Cellulose Nanofibrils/Chitosan Filament with Remarkable Cytocompatibility and Wound Healing Properties

Wu,

Zhang,

et al. 2023

ACS Appl. Mater. Interfaces

View full text Add to dashboard Cite

Surgical threads are of great importance to prevent wound infection and accelerate tissue healing in surgical treatment. Cellulose nanofibrils (CNF) and chitosan (CS) are attracting increasing attention to be employed as biomedicine materials due to their nontoxicity, cytocompatibility, and biodegradability. However, a robust and absorbable cellulose-based surgical thread has not been explored. Therefore, in this work, a bioinspired CNF/ CS composite thread containing 5% cationic polyacrylamide (CPAM) by the mass of CS was prepared, and the obtained CNF/CS-5C thread exhibited excellent mechanical properties and low swelling ratio in water due to the high cross-link degree. Especially, the tensile strength (1877 ± 107 MPa) of this thread was much higher than that of most reported CNF-based threads. Meanwhile, compared with commercial silk and Vicryl surgical threads, the CNF/CS-5C thread exhibited better in vitro cytocompatibility toward endothelial and fibroblast cells and lower inflammatory response in vivo to subcutaneous tissues of rats. In addition, the obtained thread could be regarded as a promising absorbable suture, which exhibited excellent wound healing performances in vivo. Therefore, the prepared absorbable thread will open a new window to prepare novel and advanced cellulosebased threads for medical applications.

show abstract

Dermatological surgery: an update on suture materials and techniques. Part 2

Cited by 4 publications

References 16 publications

Treatment and Improvement of Healing after Surgical Intervention

Treatment and Improvement of Healing after Surgical Intervention

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

Bioinspired, Robust, and Absorbable Cellulose Nanofibrils/Chitosan Filament with Remarkable Cytocompatibility and Wound Healing Properties

Contact Info

Product

Resources

About