Wound Healing after Open Appendectomies in Adult Patients: A Prospective, Randomised Trial Comparing Two Methods of Wound Closure

2012 ◽  
Vol 36 (10) ◽  
pp. 2305-2310 ◽  
Author(s):  
S. Kotaluoto ◽  
S.-L. Pauniaho ◽  
M. Helminen ◽  
H. Kuokkanen ◽  
T. Rantanen
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Randomised Trial ◽  
Adult Patients ◽  
Prospective Randomised Trial

scholarly journals Comparison of Topical Skin Adhesive and Simple Interrupted Nylon Sutures for Wound Closure in Forefoot Surgery: A Prospective Randomised Trial

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0039
Author(s):  
Robbie Ray ◽  
Thomas A. Goff ◽  
Paul M. Dearden ◽  
Peter W. Robinson ◽  
Peter Lam ◽  
...  
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Wound Care ◽  
Randomised Trial ◽  
Data Set ◽  
Prospective Randomised Trial ◽  
Forefoot Surgery ◽  
High Satisfaction ◽  
Patient Reported

Category: Bunion Introduction/Purpose: There are many options for wound closure in forefoot surgery. The purpose of this study was to compare topical skin adhesive (2-Octyl-cyanoacrylate) to standard simple interrupted nylon sutures with attention to the quality of wound healing and the acceptability to the patient. Methods: Patients undergoing elective 1st ray forefoot surgery utilising a medial incision, either Hallux Valgus correction or 1st Metotarsophalangeal joint arthrodesis, were recruited to this study. Patients were randomly allocated during surgery to final layer wound closure with either the intervention topical skin adhesive (TSA) or the control interrupted nylon sutures (INS). Practicality was assessed by time taken for wound closure and subsequent time to perform wound care at 2 weeks postoperatively, wound care pain (VAS) and quality of wound healing was assessed at this point with a dedicated scoring tool, patient satisfaction and acceptability was assessed at 6 weeks postoperative. Results: 70 patients (18 bilateral) were recruited, resulting 42 feet in each study group (after 4 exclusions for incomplete data set). Mean age 61 (29-83). There were no statistical differences in the demographics or surgery performed between groups. Wound closure time was significantly slower for TSA (272 secs (SD 72.2) vs 229 secs (SD 58.8), p=0.0038). At 2 weeks postoperative wound care time was significantly faster for TSA (71 secs (SD 50.8) vs 120 Secs (SD 47.8), p<0.0001), and patient reported pain was significantly less with TSA (VAS 0 vs 2, p=0.025). Significantly more inflammation and wound edge separation was recorded with TSA (17 vs 5 cases, p=0.006) and (12 vs 3 cases, p=0.02) respectively. High satisfaction was reported in both groups with no signifcant difference. Conclusion: Topical skin adhesive and interrupted nylon sutures are both acceptable closure methods for forefoot surgery with high satisfaction rates, low pain scores and low complications. However, the observation of significantly more inflammation and areas of wound separation at the early post-operative period with topical skin adhesive is sufficient to recommend routine use of sutures.

Skin Staples versus Intradermal Wound Closure following Primary Hip Arthroplasty: A Prospective, Randomised Trial Including 231 Cases

2015 ◽  
Vol 25 (6) ◽  
pp. 563-567 ◽  
Author(s):  
Martin A. Buttaro ◽  
Mauricio Quinteros ◽  
Gabriel Martorell ◽  
Gerardo Zanotti ◽  
Fernando Comba ◽  
...  
Keyword(s):  
Hip Arthroplasty ◽  
Wound Closure ◽  
Randomised Trial ◽  
Skin Staples ◽  
Prospective Randomised Trial ◽  
Primary Hip Arthroplasty

A prospective randomised trial of absorbable versus non-absorbable sutures for wound closure after fasciectomy for Dupuytren’s contracture

2009 ◽  
Vol 34 (5) ◽  
pp. 618-620 ◽  
Author(s):  
K. HOWARD ◽  
A. J. M. SIMISON ◽  
A. MORRIS ◽  
V. BHALAIK
Keyword(s):  
Wound Closure ◽  
Wound Care ◽  
Randomised Trial ◽  
Dupuytren’S Contracture ◽  
Polyglactin 910 ◽  
Randomised Study ◽  
Dupuytren's Contracture ◽  
Prospective Randomised Trial ◽  
Absorbable Sutures ◽  
Significant Difference

After fasciectomy for Dupuytren’s contracture the wound has traditionally been closed with non-absorbable sutures. A prospective randomised study of 59 patients was undertaken to compare wound closure after fasciectomy with irradiated polyglactin 910 absorbable sutures and non-absorbable sutures. The outcomes studied were: time spent attending to the wound at the first postoperative visit; the patient’s pain score at that visit; and any complications. Wound care required significantly more time when non-absorbable sutures were used. There was no significant difference in pain scores or in complications between the two groups. We recommend the use of irradiated polyglactin 910 absorbable sutures for wound closure after fasciectomy as it saves time and resources without compromising wound healing.

Comparison of the ficus for the wound healing activity in various species

2020 ◽  
Vol 10 (4) ◽  
pp. 67-70
Author(s):  
Mothilal K ◽  
Akila CR ◽  
Mahender K ◽  
Chaitanya Kumar K ◽  
Ravi D
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Subcutaneous Tissue ◽  
Significant Activity ◽  
Herbal Extracts ◽  
Standard Drug ◽  
Excision Wound ◽  
Injuries And Wounds ◽  
Skin Conditions ◽  
Wound Healing Activity

Injuries and wounds are any sorts of damage to the skin or subcutaneous tissue. Usually, any wounds of such sorts are self-healed. Sometimes, there may be a delay in healing, and that delay is caused due to the functional delays in various processes of wound healing. All the Ficus plants show similar activities like the antioxidant, anti-inflammatory and wound healing properties 7including skin conditions like ulcers and rheumatism. The anthelmintic property and immunomodulatory are also seen. The herbal extracts of the same family of Ficus in different plants were investigated for the wound healing activity in the excision wound method, and the extracts showed significant activity compared to the drug. All the extracts showed a better healing ability, but the extract of FBO-100 showed the highest activity followed by FMO followed by FHO and finally the FRO. Overall, the activity of the extract ointment was comparable and was significant compared to the standard drug ointment. The wound closure of the extract ointment treated groups were better and were completed in 12 days, and the activity was more than 96%. The herbal extracts of the same family of Ficus in different plants were investigated for the wound healing activity in the excision wound method, and the extracts showed significant activity compared to the drug. The plants of microcarpa, benghalensis, religiosa and hispida are compared for the activity, and the order showed for the activity was FBO>FMO>FHO>FRO.

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