scholarly journals Clinical Outcome and Wound Healing following Carpal Tunnel Decompression: A Comparison of Two Common Suture Materials

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Robert J. MacFarlane ◽  
Thomas D. Donnelly ◽  
Yousaf Khan ◽  
Syam Morapudi ◽  
Mohammad Waseem ◽  
...  
Keyword(s):  
Wound Healing ◽  
Patient Satisfaction ◽  
Carpal Tunnel ◽  
Wound Closure ◽  
Suture Material ◽  
Skin Closure ◽  
Suture Materials ◽  
Vas Scores ◽  
The Mean ◽  
The Ideal

Introduction. Debate exists amongst surgeons regarding the ideal suture material for skin closure in carpal tunnel decompression (CTD). This study compares wound related complications, patient satisfaction, and functional outcome following open carpal tunnel decompression in patients undergoing wound closure with either of two common absorbable and nonabsorbable suture types.Materials and Methods. 53 patients underwent CTD with either 4/0 polypropylene (ProleneTM,n= 28) or 4/0 polyglactin (Vicryl RapideTM,n= 25) for skin closure. QuickDASH, VAS satisfaction scores, and Southampton wound scores were assessed preoperatively and at 2 and 6 weeks postoperatively.Results. At 6 weeks the mean QuickDASH scores postoperatively were 18.54 and 17.70 for absorbable and nonabsorbable sutures, respectively, (P= 0.86). The mean VAS scores were 0.61 and 0.42 (P= 0.91), respectively. All patients achieved a Southampton wound score of 0 by 6 weeks except one, who achieved 1C in the nonabsorbable group, equivalent to mild erythema. There were no complications in either group.Conclusion. Both suture types are safe and effective materials for CTD, and we recommend surgeons to choose according to personal preference, handling properties, and resources available for suture removal.

A prospective randomized trial of suture material in aural wound closure

1988 ◽  
Vol 102 (9) ◽  
pp. 788-790 ◽  
Author(s):  
D. J. Willatt ◽  
L. Durham ◽  
M. F. Ramadan ◽  
N. Bark-Jones
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Suture Material ◽  
Wound Dehiscence ◽  
Chromic Catgut ◽  
Wound Infections ◽  
Suture Materials ◽  
Factors Affecting ◽  
Monofilament Suture ◽  
Synthetic Monofilament

AbstractThe aim of the study was to compare synthetic monofilament suture materials with chromic catgut and silk in aural wound closure. Forty patients undergoing mastoidectomy or tympanoplasty were randomized to closure with either 30 PDS (Polydioxanone) to fascia plus 30 Prolene to skin, or 20 chromic catgut to fascia plus 30 silk to skin. Known or suspected factors affecting wound healing were recorded. Nine patients had post-operative wound infections. The infection rate was significantly lower in wounds closed with PDS and Prolene (χ2 = 6.05, p<.05), and in tympanoplasty operations (χ2 = 4.42, p<.05). Four patients suffered wound dehiscence, all four had been closed with catgut and silk. No other complication of wound healing was noted in the trial. In conclusion, PDS and Prolene are superior suture materials to catgut and silk in the closure of aural wounds.

Strength of Braided Polyblend Polyethylene Sutures versus Braided Polyester Sutures in Achilles Tendon Repair

2010 ◽  
Vol 100 (3) ◽  
pp. 185-188 ◽  
Author(s):  
Keith D. Cook ◽  
Greg Clark ◽  
Eric Lui ◽  
Gaurav Vajaria ◽  
George F. Wallace
Keyword(s):  
Achilles Tendon ◽  
Suture Material ◽  
Tendon Repair ◽  
Contralateral Side ◽  
Suture Technique ◽  
Materials Testing ◽  
Suture Materials ◽  
Cross Sectional ◽  
The Mean ◽  
The Right

Background: Various techniques may be used to repair Achilles tendon ruptures; however, we contend that using the strongest suture with the least amount of suture material is ideal. Methods: To compare the strength of 2-0 FiberLoop (Arthrex Inc, Naples, Florida) and #2 Ethibond (Ethicon Inc, Somerville, New Jersey) suture materials in Achilles tendon repairs, 12 Achilles tendons were harvested from cadavers aged 18 to 62 years (median age, 42 years). The tendons were transected and repaired using a modified Krackow suture technique. All of the right limbs were repaired with 2-0 FiberLoop, and the contralateral side was repaired with #2 Ethibond. The specimens were mounted to a materials testing system, and the repairs were pulled to failure in an anatomical direction. Results: The mean ± SD yield loads of 2-0 FiberLoop and #2 Ethibond were 233 ± 48 N and 134 ± 34 N, respectively (P = .002). The mean ± SD ultimate load of 2-0 FiberLoop was 282 ± 58 N, and that of #2 Ethibond was 135 ± 33 N (P &lt; .001). The cross-sectional area of one pass of 2-0 FiberLoop was calculated to be 0.21 mm2, and one pass of #2 Ethibond was 0.28 mm2. Conclusions: The smaller-caliber 2-0 FiberLoop was significantly stronger than #2 Ethibond. This study suggests that there is no advantage to using the traditional larger suture material for Achilles tendon repairs; however, further clinical testing is needed to determine the optimal repair technique. (J Am Podiatr Med Assoc 100(3): 185–188, 2010)

scholarly journals Surgical glue- a promising technology for wound healing

2018 ◽  
Vol 1 (1) ◽  
pp. 9-11
Author(s):  
K. V. Swathi Krishna ◽  
L. S. Uma Maheswari ◽  
G Rajeswari
Keyword(s):  
Wound Healing ◽  
Cost Effectiveness ◽  
Wound Closure ◽  
Cost Effective ◽  
Daily Basis ◽  
Skin Closure ◽  
Tissue Glue ◽  
Closure Time ◽  
Anesthesia Awareness ◽  
Long Time

Wound closure is one of the important steps of surgical dressing and suturing is the most commonly used method of wound closure. The process of suturing takes very long time for surgery and increases the patient’s risk of anesthesia awareness. Skin glues are a safe and effective method to close selected wounds. They are also cost-effective and help prevent infection. Ideally, wounds should be less than 4 cm, not contaminated or infected and have skin edges that are not under tension. Wounds should be closed within 12 hours. Novel methods of wound closure have been introduced to address these issues, most notably cyanoacrylate tissue glues. The evidence would suggest that the use of cyanoacrylate tissue glue is associated with a reduction in closure time and costs. On a daily basis, dermasurgeons are facing different kinds of wounds that have to be closed. With a plethora of skin closure materials currently available, choosing a solution that combines excellent and rapid cosmetic results with practicality and cost-effectiveness is preferred.

The Use of a Fine-Gauge Needle to Reduce Pain in Open Carpal Tunnel Decompression: A Randomized Controlled Trial

2005 ◽  
Vol 30 (6) ◽  
pp. 615-617 ◽  
Author(s):  
A. C. WATTS ◽  
J. MCEACHAN
Keyword(s):  
Carpal Tunnel ◽  
Local Anaesthetic ◽  
Controlled Trial ◽  
Verbal Response ◽  
Controlled Study ◽  
Response Scale ◽  
Randomized Controlled ◽  
Vas Scores ◽  
The Mean ◽  
23 Gauge

This randomized controlled study on 86 patients compared the level of pain experienced by patients on instillation of local anaesthetic into the palm with a 23-gauge and a 27-gauge (dental) needle in open carpal tunnel decompression. Patients were asked to score the amount of pain they experienced during the injection of the local anaesthetic and their level of anxiety about future injections using a visual analogue scale (VAS) and a four-point verbal response scale (VRS). The mean pain and anxiety scores on the VAS were significantly lower in the dental needle group. There was significant correlation between the pain and anxiety VAS scores. When infiltrating local anaesthetic into the palm for open carpal tunnel decompression, the use of a fine (dental) needle can reduce the pain on that occasion and the anxiety concerning future injections likely to be experienced by the patient.

Surgical wounds in reduction mammoplasty: a comparison of Monocryl and Prolene sutures on scars

2021 ◽  
Vol 30 (8) ◽  
pp. 626-630
Author(s):  
Ezzatollah Rezaei ◽  
Hamed Farhadi ◽  
Saeedeh Hajebi Khaniki ◽  
Hamzeh Zarei ◽  
Yavar Shams Hojjati
Keyword(s):  
Wound Healing ◽  
Suture Material ◽  
Reduction Mammoplasty ◽  
Suture Materials ◽  
Scar Assessment ◽  
Surgical Wounds ◽  
Significant Difference ◽  
Prolene Suture ◽  
Materials Used ◽  
The One

Objective: The type of suture material affects the quality of scars. The aim of this study was to find the superior suture material for reduction mammoplasty between Prolene and Monocryl based on the comparison of scars. Method: A prospective observational study was conducted at a university-based hospital in Mashhad, Iran between October 2015 and September 2017. Monocryl and Prolene suture materials, used for closing the outermost layer in mammoplasty, were compared. Patients' incision scars were assessed objectively according to the Patient and Observer Scar Assessment (POSAS) criteria. The relevant CONSORT guideline was used for reporting this study. Results: Seventy-eight women with a mean age of 36.8±9.5 years were entered into the study. The frequency of wound healing in both groups was 97.4% 1 month after surgery and by the third visit, 3 months after surgery, only one patient had a stretched scar. Moreover, wound inflammation in the first two visits was less frequent in the Prolene group that healed completely 3 months after surgery (after excluding the one patient with wide scar inflammation). The frequency of itching of the wound in the Monocryl group was 24.4%, 11.5% and 12.8% in the three follow-up visits, respectively, and the values for the Prolene group were 24.4%, 9.0% and 6.4%, respectively. No significant difference was seen between the two groups in terms of wound healing, inflammation and itching (p>0.05). Overall, 94.8% of patients were satisfied with the surgery. Conclusions: Our study revealed that there was no significant difference between Monocryl and Prolene. Hence, either of the two suture materials can be used for wound closure in reduction mammoplasty.

The Use of Biologic Wound Healing Agents in Cheek Reconstruction

2021 ◽  
Author(s):  
Monal Depani ◽  
James Thornton
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Wound Care ◽  
Mobile Element ◽  
Excisional Biopsy ◽  
Advancement Flap ◽  
Mobile Elements ◽  
Skin Closure ◽  
Comorbid Conditions ◽  
The Face

AbstractThe unique requirements of reconstructing cheek defects, often with its proximity to the mobile elements of the face including the lip and the eyelid, have been met very handily with the directed and thoughtful use of biologic wound healing agents. One of the key advantages of these agents is their ability to provide coverage in patients with multiple comorbid conditions for the mobile elements of the cheek where the cervicofacial advancement flap is contraindicated due to its anesthetic requirement. The biologic agents are also highly successful coverage options for patients who have limited skin laxity to provide for proper skin closure using the standard cheek closure techniques with local flaps. In addition, these agents provide an ability to provide stable wound closure with minimal wound care while waiting for the excisional biopsy results to be finalized. This article describes the unique indications for biologic wound agents, including preservation of lip and eyelid mobile element anatomy without retraction from a local flap, which has not been previously described.

scholarly journals Comparison of Subcuticular Suture Materials in Cesarean Skin Closure

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Pınar Solmaz Hasdemir ◽  
Tevfik Guvenal ◽  
Hasan Tayfun Ozcakir ◽  
Faik Mumtaz Koyuncu ◽  
Gonul Dinc Horasan ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Suture Material ◽  
Wound Complication ◽  
Wound Complications ◽  
Skin Closure ◽  
Complication Rates ◽  
Suture Materials ◽  
Subcuticular Suture ◽  
Nonabsorbable Suture ◽  
Closure Time

Aim.Comparison of the rate of wound complications, pain, and patient satisfaction based on used subcuticular suture material.Methods.A total of 250 consecutive women undergoing primary and repeat cesarean section with low transverse incision were prospectively included. The primary outcome was wound complication rate including infection, dehiscence, hematoma, and hypertrophic scar formation within a 6-week period after operation. Secondary outcomes were skin closure time, the need for use of additional analgesic agent, pain score on numeric rating scale, cosmetic score, and patient scar satisfaction scale.Results.Absorbable polyglactin was used in 108 patients and nonabsorbable polypropylene was used in 142 patients. Wound complication rates were similar in primary and repeat cesarean groups based on the type of suture material. Skin closure time is longer in nonabsorbable suture material group in both primary and repeat cesarean groups. There was no difference between groups in terms of postoperative pain, need for additional analgesic use, late phase pain, and itching at the scar. Although the cosmetic results tended to be better in the nonabsorbable group in primary surgery patients, there was no significant difference in the visual satisfaction of the patients.Conclusions.Absorbable and nonabsorbable suture materials are comparable in cesarean section operation skin closure.

Decompression for recurrent carpal tunnel syndrome provides significant functional improvement and patient satisfaction

2019 ◽  
Vol 45 (3) ◽  
pp. 250-254 ◽  
Author(s):  
Paul H. C. Stirling ◽  
Thomas F. M. Yeoman ◽  
Andrew D. Duckworth ◽  
Nicholas D. Clement ◽  
Paul J. Jenkins ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Tunnel Syndrome ◽  
The Mean

This prospective single-centre study describes the functional outcomes, satisfaction and health-related quality of life after open revision carpal tunnel decompression for recurrent carpal tunnel syndrome. The QuickDASH, patient satisfaction and EuroQol-5 dimensions questionnaires were collected preoperatively and postoperatively over a 5-year period (2013–2018). The median time to revision was 13.3 years (range 3.9–35.4 years; interquartile range 7.2–15.9 years). Outcomes were available for 14 hands in 13 patients at a mean of 20 months after revision surgery. The mean preoperative and postoperative QuickDASH scores were 55 and 29, respectively, and the mean improvement in QuickDASH was 26. The mean improvement in EuroQol-5 dimensions score was 0.1, and 13 of the 14 patients were satisfied. The net promoter score was 85. This study confirms that patients undergoing revision open carpal tunnel decompression for recurrent carpal tunnel syndrome experience a significant improvement in function and health-related quality of life. Level of evidence: IV

scholarly journals Abdominal Wound Closure: Choice of Suture

1981 ◽  
Vol 74 (8) ◽  
pp. 580-585 ◽  
Author(s):  
T E Bucknall
Keyword(s):  
Wound Closure ◽  
Polyglycolic Acid ◽  
Polymorphonuclear Cells ◽  
Abdominal Wound ◽  
Suture Materials ◽  
Normal Absorption ◽  
The One ◽  
First Time ◽  
Early Phases ◽  
The Ideal

Experiments were designed to test suture materials for their use in potentially infected abdominal wound closure. The nearest to the ideal, at present available, is a monofilament nonabsorbable suture, the one tested being monofilament nylon. The suture retained adequate strength in the infected and noninfected state over a 70-day period. This is particularly important as infection has been shown to result in low wound strength in the early phases of healing. The monofilamentous nature of this suture represented an advantage when sutures were examined electronmicroscopically. Infected, braided sutures viewed for the first time by electronmicroscopy were shown to contain bacteria and polymorphonuclear cells, even after 70 days implantation. The normal absorption and encapsulation of these sutures was delayed by the presence of infection. Polyglycolic acid had marked strength when new but rapidly weakened after implantation. This together with slowed absorption in the infected state is a disturbing feature in terms of wound failure and sinus formation respectively.

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