Reinforcement of subcuticular continuous suture closure with surgical adhesive strips and gum mastic: Is there any additional strength provided?

Yavuzer, Reha; Kelly, Christopher E.; Durrani, Noreen; Mittal, Vijay K.; Jackson, Ian T.; Remine, Stephen M.

doi:10.1016/j.amjsurg.2005.01.003

Cited by 15 publications

(9 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The two-week rule has not always affected routine waiting times, which in some instances have improved. 1 That a GP needs to use the referral proforma appropriately is important. It is unfortunate that this paper contains…”

Section: Commentmentioning

confidence: 99%

“…We did not use any strips/tape and there is no evidence in the scientific literature to justify or support the practice of closing a surgical wound with both subcuticular suture and adhesive surgical tape. 1 Taped closure alone has advantages of lower wound infection rates and greater wound tensile strength but disadvantages of epidermal reaction, skin edge inversion, doubtful safety and time required for meticulous surgical technique. 2 Whether the paper by Webb and Khanna with its confusing numbers and contradictions contributes to an evaluation of the rapid referral scheme for suspected cancer is doubtful.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Author's Response

Singh¹

2006

annals

View full text Add to dashboard Cite

skin closure tension should be managed with deeper dermal sutures. The epidermis may come together without any further suturing but re-enforced with tape. There are some patients who are sensitive to the various absorbable sutures used for skin closure. The tissue reaction settles when the sutures are removed without antibiotics. The newer suture materials (e.g. Vicryl™ rapide [Polyglactin 910]; Ethicon, Simpson Parkway, Kirkton Campus, Livingston EH54 0AB, UK) have become popular for skin stitching, particularly as it is common practice not to remove them. However, these sutures often remain longer in place than the perceived seven days. This often results in stitch marks, which should be avoided. If, however, these materials are used as skin stitches, then, particularly in children, the knots can be cut. The parents/patient can then be encouraged to rub out the remaining stitch ends over the next few days. The best time to do this is at bath time. Supportive tape can be applied if there is concern about the strength of the healing wound.

show abstract

Section: Commentmentioning

confidence: 99%

mentioning

confidence: 99%

Author's Response

Singh¹

2006

annals

View full text Add to dashboard Cite

show abstract

“…[2][3][4] Therefore, reducing the suture burden at the repair site can decrease hand complications and improve outcomes. Another novel technique of photochemical tissue bonding (PTB) 5,6 has been put forward for wound closure or tissue repair for several tissues including skin, corneal, vessel, nerves, and so on. [7][8][9][10][11][12][13][14][15][16][17][18][19] PTB is a suture-less light-activated technique that uses a photoactive dye, Rose Bengal (RB), 20 for application on the tissue surfaces, followed by illumination with green light to seal the wound.…”

Section: Introductionmentioning

confidence: 99%

Photochemical Tissue Bonding Technique for Improving Healing of Hand Tendon Injury

2019

View full text Add to dashboard Cite

Purpose. We utilized a novel approach of combined photochemical tissue bonding (PTB) and human amniotic membrane (HAM) to improve hand tendon repair and also evaluated its efficacy. Methods. Subei chickens underwent surgical transection of the flexor digitorum profundus tendons and repair by (1) SR (standard Kessler suture; n = 24; 6-0 prolene) and (2) HAM/PTB (n = 24), where a section of HAM was stained with 0.1% Rose Bengal, wrapped around the ruptured tendon and bonded with 532 nm light (0.5 W/cm 2 , 200 J/cm 2). Total active motion, gross appearance, extent of adhesion formation, biochemical properties, and inflammatory cells of the repaired tendon were evaluated on days 3, 7, 14, and 28 postoperatively. Results. PTB strongly bonded HAM with flexor digitorum profundus tendon surface. No significant difference was observed between the tensile properties of either group on all postoperative time points. The joint activities and the adhesion formation levels were significantly better in the HAM/PTB group compared with those in the SR group on day 14. Histological examination revealed drastically reduced number of inflammatory cells in the HAM/PTB group than in the SR group on days 7 and 14 after surgery. Conclusions. These findings revealed that PTB sealing of HAM around the tendon repair site provided considerable benefits for hand tendon repair by eliminating technical difficulties and obvious contraindications. Thus, this novel procedure has considerable benefits in repairing hand tendon damage.

show abstract

“…CTB or Mastisol ® ) under adhesive tape was shown in one study to increase the length of time that the tape remained adhered to the skin, and so theoretically also reduced the tension on wound edges for a longer time . Furthermore, an interesting cadaveric study revealed that strip reinforcement with or without gum mastic did not provide any additional strength when sutures were used, but gum mastic increased the adherence of the strips, and this was important when strips were the only means of wound closure …”

mentioning

confidence: 99%

“…5 Furthermore, an interesting cadaveric study revealed that strip reinforcement with or without gum mastic did not provide any additional strength when sutures were used, but gum mastic increased the adherence of the strips, and this was important when strips were the only means of wound closure. 6 One disadvantage of adhesive compounds is the possibility of contact allergy. We encountered a case of allergic contact dermatitis (ACD) to CTB.…”

mentioning

confidence: 99%