Scalp Wound Closures in Mohs Micrographic Surgery: A Survey of Staples vs Sutures

Neill, Brett C.; Seger, Edward W.; Rickstrew, Jace; Rajpara, Anand; Hocker, Thomas L.

doi:10.12788/cutis.0039

Cited by 3 publications

(4 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 Finally, staples are becoming more commonly used in high-tension areas. 20 In limited reports, patients have been successful with home removal of staples; although given the specialized nature of this process, appropriate tools would likely have to be provided and more research is needed on its feasibility. 21 Limitations of the current study include the consecutive nature of enrollment and eligibility, which included only visible tumor locations.…”

Section: Discussionmentioning

confidence: 99%

Patients are Willing and Successful With Home Suture Removal After Mohs Surgical Procedures

Seger

Neill

Patel

et al. 2022

View full text Add to dashboard Cite

BACKGROUND Suture removal after surgery is low risk; however, it is often performed by a medical provider. The current SARS-CoV-2 pandemic has forced providers to assess means of reducing in-person contact. OBJECTIVE To determine whether patients undergoing Mohs surgery are willing and successful with home suture removal. MATERIALS AND METHODS A prospective study was performed with patients undergoing Mohs surgery. Before their surgery, patients were assessed for their willingness to remove sutures before and after viewing educational material. Patients who were willing to attempt removal were contacted after expected suture removal date to verify success and assess their experience. RESULTS One hundred fifty patients were enrolled in the study. 90.1% were willing to attempt home suture removal. Patients were more willing (p = .003), more confident (p = .024), and had lower anxiety (p = .049) with removal after viewing educational resources. Patients with a history of suture removal were more likely to attempt removal after their procedure (p = .036). Ninety-seven percent of patients who were willing to attempt suture removal were successful. There were no major complications with removal. CONCLUSION Patients were overwhelmingly successful with suture removal after an educational intervention. Providers should consider providing this option after surgical procedures when clinically appropriate.

show abstract

Section: Discussionmentioning

confidence: 99%

Patients are Willing and Successful With Home Suture Removal After Mohs Surgical Procedures

Seger

Neill

Patel

et al. 2022

View full text Add to dashboard Cite

show abstract

“…A survey of 68 Mohs surgeons demonstrated preference for staples vs. sutures for closure of scalp wounds. 16 The participants believed both closure methods to be equivalent in complication risk, cosmetic outcome and patient satisfaction. A double-blinded, randomized study of 80 patients undergoing head and neck cancer surgery compared 3-0 silk with staples.…”

Section: Staplesmentioning

confidence: 97%

“…There are no studies comparing skin staples with sutures for dermatological surgery. A survey of 68 Mohs surgeons demonstrated preference for staples vs. sutures for closure of scalp wounds 16 . The participants believed both closure methods to be equivalent in complication risk, cosmetic outcome and patient satisfaction.…”

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

View full text Add to dashboard Cite

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.

show abstract

“… 1 Epidermal staples have been advocated to reduce track marks, but placing secure dermal sutures often represents the greater challenge with these high-tension regions. 2 We present an efficient stepwise technique for closure of linear scalp defects.…”

Section: Challengementioning

confidence: 99%

Alternating suture and staple placement for linear high-tension scalp wounds: A video walk-through

McClure,

Seger,

Jibbe

2024

JAAD International

View full text Add to dashboard Cite

Scalp Wound Closures in Mohs Micrographic Surgery: A Survey of Staples vs Sutures

Cited by 3 publications

References 4 publications

Patients are Willing and Successful With Home Suture Removal After Mohs Surgical Procedures

Patients are Willing and Successful With Home Suture Removal After Mohs Surgical Procedures

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

Alternating suture and staple placement for linear high-tension scalp wounds: A video walk-through

Contact Info

Product

Resources

About