Patient satisfaction and preference for absorbable versus nonabsorbable sutures for linear repairs

Aboul-Fettouh, Nader; Marzolf, Sean; Smith, Jerry M.; Srivastava, Divya; Nijhawan, Rajiv I.

doi:10.1016/j.jaad.2018.02.020

Cited by 10 publications

(8 citation statements)

References 3 publications

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“…Thus, on the basis of high patient-reported satisfaction, absorbable sutures can be recommended as an excellent option for linear repairs. 3 Sajid MS et al in their meta-analysis of 10 RCTs demonstrates that the complication rates after the use of AS is similar to NAS for skin closure, for surgical site infection and other operative morbidities. The study also noted that AS do not increase the risk of skin wound dehiscence, rather lead to a reduced risk of wound dehiscence compared to NAS.…”

Section: Graph 1 Frequency Plot Table 1 Descriptive Statisticsmentioning

confidence: 99%

Usefulness of Interrupted Absorbable Subcuticular Sutures in Elective General Surgical Procedures- A Randomized Case Control Study

Ulahannan¹,

Gopinathan²

2019

jebmh

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BACKGROUND In head and neck surgeries, and day care surgeries, surgical wounds are usually closed either by interrupted non absorbable sutures or by continuous subcuticular sutures either absorbable or nonabsorbable. Studies show definite advantage of continuous absorbable subcuticular sutures over usually used interrupted nonabsorbable sutures. In this context, we thought of interrupted subcuticular sutures where we can tackle the above-mentioned limitations, while actually reducing the financial burden of the patients. METHODS In this randomised case-controlled study, we have included all elective general surgical procedures including day care surgeries that is being carried out in the department of General Surgery Govt. Medical College, Kottayam for a period of 2 years starting from 2016. Total number of cases taken are 100; 50 each in each group which is again divided into 5 subgroups, each containing 10 patients. For the conventional methods we used continuous subcuticular sutures, interrupted sutures with polyamide, or skin staplers. We compared the advantages and disadvantages of patients receiving the conventional methods of skin suturing and those receiving the interrupted absorbable subcuticular sutures. The differences are being assessed by comparing 8 factors viz. surgical site infection, haematoma, wound gaping, allergy to suture material, hypertrophic scar formation, chronic pain, and patient satisfaction (cosmesis and flexibility in follow up hospital visits). Each factor is given one point (first 7 points for NOs and the last one point for YES) and the patients are grouped into three subgroups with those securing 0-3 points, 4-6 points and 7-8 points. Patients belonging to the third group are considered to have the most benefit and the first group the worst. RESULTS Most of the scores in interrupted method are 7 (around 66%), while in conventional method it is somewhat equally distributed with highest frequency for score 7 only in 28%. Mean and median scores for conventional method are 5.10 and 5.00 respectively and that of interrupted method is 6.46 and 7 respectively. The output of Mann Whitney Test is observed as: The mean rank for conventional method is 38.17 and that of interrupted method is 62.83. Mann Whitney U statistic is 229.00 and p-value for significance is approximately equal to Zero. CONCLUSIONS We recommend interrupted absorbable subcuticular suturing technique in routine general surgical procedures, especially where we use curvilinear incisions, saving the time of the surgeon and the patient. For the national healthcare system, this can lead to considerable cost savings without compromising clinical effectiveness or safety.

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Section: Graph 1 Frequency Plot Table 1 Descriptive Statisticsmentioning

confidence: 99%

Usefulness of Interrupted Absorbable Subcuticular Sutures in Elective General Surgical Procedures- A Randomized Case Control Study

Ulahannan¹,

Gopinathan²

2019

jebmh

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“…These findings are comparable to a single-centre retrospective study (n = 91), which found that most patients (67.6%) having absorbable (poliglecaprone-25 or fast-absorbing gut) sutures across all body sites would opt for these again. 9 A 2018 systematic review and meta-analysis explored cosmetic outcomes of primary closure of facial wounds with AS vs. NAS, 10 and concluded that there were no significant differences between AS and NAS in terms of cosmesis. However, the quality of evidence was low with significant variation in outcome assessment, and few studies have measured patient-reported outcomes.…”

Section: Reportmentioning

confidence: 99%

A multicentre qualitative study of patient skin surgery experience during the COVID ‐19 pandemic in the UK

Ashraf

Nikookam

Hong

et al. 2022

Clin Experimental Derm

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Summary Understanding patient concerns regarding skin surgery during the COVID‐19 pandemic is a vital way of learning from individual experiences. A shift towards using superficial absorbable sutures (AS) has been anecdotally observed. We explored patient attitudes to the use of AS, and their experiences and perceptions of attending for skin surgery during the pandemic. In total, 35 participants were interviewed (74% men, 100% white British; mean age 72.5 years, range 43–95 years). Participants reported that they were reassured by precautions taken to minimize exposure and risk from COVID‐19. The majority (86%) did not feel that personal protective equipment worn by staff impaired their experience, and 29% reported that their experience of attending for skin surgery during the lockdown period was more efficient and organized than on prepandemic visits. The vast majority (94%) of participants would opt to have AS again or had no strong preference for either suture type. Based on their experiences, most participants would have no concerns about attending for further skin surgery during the pandemic and would opt to have AS.

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“…A single‐centre retrospective study ( n = 91) found that most patients (67.6%) receiving absorbable (poliglecaprone‐25 or fast‐absorbing gut) sutures would opt for these again, 5 whereas the nonabsorbable (polypropylene) suture cohort, most patients (54.4%) had no strong preference. Of those preferring absorbable sutures, 81.6% cited convenience and lack of a suture removal visit as reasons.…”

Section: Rapidly Absorbable Vs Nonabsorbable Suturesmentioning

confidence: 99%

Dermatological surgery: an update on suture materials and techniques. Part 1

Ashraf

Butt

Veitch

et al. 2021

Clin Experimental Derm

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Significant variation exists in the surgical suture materials and techniques used for dermatological surgery. Many wound-closure techniques are now practised, including use of sutures, staples and topical adhesives. The focus of our review article is to summarize the latest evidence relating to suture materials and wound-closure techniques, considering the following areas: scar/cosmesis, pain, patient satisfaction, cost, infection and wound complications. We searched the databases Medline, PubMed and Embase using the keywords 'skin surgery', 'dermatologic surgery', 'sutures', 'suture techniques', 'suturing techniques' and 'surgical techniques' to identify relevant English-language articles. Absorbable superficial sutures may be a preferred alternative to nonabsorbable sutures by both patients and surgeons. Subcuticular sutures may be preferable to simple interrupted sutures for superficial wound closure, and there may also be a role for skin staples in dermatological surgery, particularly on the scalp. However, there remains limited evidence specific to dermatological surgery supporting the use of particular suture materials and suturing techniques. Further high-quality research is required, including multicentre randomized trials with larger cohorts.

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Patient satisfaction and preference for absorbable versus nonabsorbable sutures for linear repairs

Cited by 10 publications

References 3 publications

Usefulness of Interrupted Absorbable Subcuticular Sutures in Elective General Surgical Procedures- A Randomized Case Control Study

Usefulness of Interrupted Absorbable Subcuticular Sutures in Elective General Surgical Procedures- A Randomized Case Control Study

A multicentre qualitative study of patient skin surgery experience during the COVID ‐19 pandemic in the UK

Dermatological surgery: an update on suture materials and techniques. Part 1

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