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.

Randomized controlled trial of wound complication rates of subcuticular suture vs staples for skin closure at cesarean delivery

2010 ◽  
Vol 203 (3) ◽  
pp. 285.e1-285.e8 ◽  
Author(s):  
Suzanne L. Basha ◽  
Meredith L. Rochon ◽  
Joanne N. Quiñones ◽  
Kara M. Coassolo ◽  
Orion A. Rust ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cesarean Delivery ◽  
Controlled Trial ◽  
Wound Complication ◽  
Skin Closure ◽  
Complication Rates ◽  
Subcuticular Suture ◽  
Randomized Controlled

scholarly journals SURGICAL SITE WOUND COMPLICATION

2018 ◽  
Vol 25 (10) ◽  
pp. 1487-1491
Author(s):  
Faaiz Ali Shah ◽  
Mian Amjad Ali ◽  
Umar Zia Khan
Keyword(s):  
Wound Complication ◽  
Wound Complications ◽  
P Value ◽  
Skin Closure ◽  
Complication Rates ◽  
Polypropylene Suture ◽  
Skin Staples ◽  
Group A ◽  
Suture Closure ◽  
Group B

Objectives: To compare the frequency of surgical site wound complicationrate between the skin closure with staples and polypropylene suture after elective hip surgery.Study Design: Prospective Randomized trial. Place and Duration of the Study: Orthopaedic& Traumatology Department Lady Reading Hospital from 13/03/2016 to 25/12/2017. Materialand Methods: All patients of either gender or age with intertrochanteric fractures fulfilling theinclusion criteria and fixed with dynamic hip screw (DHS) were randomly divided into two groups.Group A surgical site skin wounds were closed with metallic skin staples while Group B woundswere closed with polypropylene sutures. Wounds were examined for inflammation, necrosis,dehiscence, discharge and abscess on 3rd day, 2nd week, 4th, and 8th weeks in both groups andcompared. P value was considered significant if < 0.05. Results: Surgical site skin closure of100 patients were done with staples (group A, 50 patients) and interrupted polypropylene suture(group B, 50 patients). Baseline parameters of both groups had no significant differences. Meanage of group A and B patients were 61.6±SD 17.1 and 61.02±SD 19.2 respectively. Surgicalsite wound complications were reported in 9(18%) patients with staples closure and 8(16%)patients with suture closure (p > 0.05). Conclusion: We found no significance difference insurgical site complication rates of staples and suture closure in elective hip surgery patients.The operating surgeon can use closure material of his own choice.

scholarly journals WOUND COMPLICATIONS;

2019 ◽  
Vol 26 (05) ◽  
Author(s):  
Bushra Sayeed ◽  
Khiaynat Sarwar Hashmi ◽  
Shehzad Ahmad Qamar
Keyword(s):  
Wound Healing ◽  
Cesarean Section ◽  
Elective Cesarean Section ◽  
Systematic Sampling ◽  
Wound Complications ◽  
Skin Closure ◽  
Absorbable Suture ◽  
Suture Materials ◽  
Number Of Patients ◽  
Significant Difference

Cesarean section is the most commonly performed abdominal operations on women worldwide. Its rate has increased markedly in recent years in most developed countries. Due to insufficient available data regarding the best suture materials for cesarean skin closure, we conducted a study “to compare the efficacy of 2 suture materials non absorbable prolene 2-0 and absorbable suture vicryl (2-0), brand Ethicon as subcuticular skin stitches in women undergoing elective cesarean section. Study Design: Prospective, observational study. Setting: Department of Obstetrics and Gynecology, Bahawal Victoria Hospital Bahawalpur. Period: 6 months. Materials and Methods: A total of 200 women fulfilling inclusion and exclusion criteria as above were enrolled for the present study. They were divided into 2 groups of 100 each by systematic sampling technique. Results: There is statistically significant difference related to post-operative wound complication parameters between non absorbable vs absorbable suture material on day 8, 15, 30 and 45. More number of patients having absorbable suture had pain, tenderness swelling and indurations. Maximum number of participants, that is, 86 (86%) and 93 (93%) from Group 1 showed excellent wound healing at day 30 and day 45 of caesarean section as compared to 63 (63%) and 66 (68%) from Group 2. Conclusion: The non-absorbable suture (prolene) was better in terms of wound healing and cosmesis as compared to absorbable suture used in our study (vicryl).

scholarly journals Sinus Tarsi Approach for Open Treatment and Internal Fixation of Displaced Intra-articular Calcaneal Fractures in High-Risk Patients: The New Gold Standard?

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0015
Author(s):  
James P. Davies ◽  
W. Bret Smith ◽  
Steven Steinlauf ◽  
Mary Millikin
Keyword(s):  
High Risk ◽  
Gold Standard ◽  
Wound Complication ◽  
Lateral Approach ◽  
Wound Complications ◽  
Complication Rates ◽  
Calcaneal Fractures ◽  
Sinus Tarsi ◽  
Sinus Tarsi Approach ◽  
Extensile Lateral Approach

Category: Ankle, Diabetes, Hindfoot, Trauma Introduction/Purpose: Intra-articular calcaneal fractures offer unique challenges. Wound problems and infection are significant complications in the surgical treatment of calcaneal fractures which in turn can be debilitating to patients and outcomes. The literature suggests varying wound complication rates but 21% up to 33% using the traditional extensile lateral approach in some studies. The extensile lateral approach has historically been accepted as the gold standard for fixation and treatment of these fractures. Recently there has been resurgent interest in alternative approaches to the fixation of intra-articular calcaneal fractures. Of interest is the potential of the sinus tarsi approach to decrease wound complications while having comparable reduction quality to the higher wound risk extensile lateral approach. Methods: A multi-center retrospective chart review study was implemented. The study objective was to review wound complication of the sinus tarsi approach compared with outcomes from the traditional extensile approach for fixation of displaced intra-articular calcaneal fractures. Specifically; examining a population of patients considered at high risk for wound issues, comparing radiographic and clinical outcomes. Results: In the high-risk group, only one primary complications resulted, including one patient with a history of an open fracture. All fractures healed with adequate maintenance of alignment. Chi- squared analysis resulted in a statistically significant difference in complication rates between sinus tarsi and the traditional extensile lateral approach at the 95% confidence level. Conclusion: In both high-risk and lower-risk cohorts of patients, a low rate of infection and wound problems was encountered. A limited approach through a sinus tarsi incision provides a viable option to treat displaced intra-articular calcaneus fracture patients with risk factors for wound issues. The patients all healed both their soft tissue wounds and fractures. Functional return was consistent with other study populations. Our study adds another cohort of patient data demonstrating the advantage of the sinus tarsi approach when compared to the extensile lateral in terms of decreased wound complications while maintaining quality of reductions and clinical outcomes.

scholarly journals Analysis of Outcomes in Adolescents and Young Adults With Pilonidal Disease

2021 ◽  
Vol 8 ◽  
Author(s):  
Mackenzie N. Abraham ◽  
Steven L. Raymond ◽  
Russell B. Hawkins ◽  
Atif Iqbal ◽  
Shawn D. Larson ◽  
...  
Keyword(s):  
Young Adults ◽  
Older Patients ◽  
Pilonidal Disease ◽  
Wound Complication ◽  
Wound Complications ◽  
Complication Rates ◽  
Recurrence Rates ◽  
Significant Difference ◽  
Secondary Healing ◽  
Age And Sex

Purpose: Numerous definitive surgical techniques exist for the treatment of pilonidal disease with varied recurrence rates and wound complications. Due to the wide array of techniques and lack of consensus on the best approach, we proposed to study our experience treating pilonidal disease in adolescents and young adults.Methods: A retrospective analysis was conducted of patients 10–24 years old treated at a tertiary medical center from 2011 to 2016. Data including demographics, management, and outcomes were collected and analyzed. Primary outcome was recurrence of disease.Results: One hundred and thirty three patients with pilonidal disease underwent operative management. Fifty one percent underwent primary closure and 49% healed by secondary intention with no significant difference in recurrence rates (primary 18%, secondary 11%; p = 0.3245). Secondary healing patients had significantly lower wound complication rates (primary 51%, secondary 23%; p = 0.0012). After accounting for sex, race, weight, and operative technique, age was predictive of disease recurrence with an adjusted odds ratio (OR) of 0.706 (0.560–0.888; p = 0.003). Age and sex were both predictive of wound complications. Older patients had decreased risk of wound complication (adjusted OR 0.806, 95% CI 0.684–0.951; p = 0.0105), and male patients had increased risk of wound complication (adjusted OR 2.902, 95% CI 1.001–8.409; p = 0.0497).Conclusion: In summary, there is no significant difference in the recurrence rates between operative techniques for pilonidal disease. Older patients have decreased risk of recurrence following intervention. Wound complication rates are lower in patients undergoing secondary healing, though this may be better explained by differences in age and sex. Additional research investigating newer, minimally-invasive techniques needs to be pursued.

scholarly journals The Opportunities for developing a new biologically active suture material in surgery (literature review)

2019 ◽  
Vol 12 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Artem Mikhailovich Morozov ◽  
Evgeny Mikhailovich Mokhov ◽  
Igor Vyacheslavovich Lyubsky ◽  
Alexey Nikolaevich Sergeev ◽  
Viktor Alekseevich Kadykov ◽  
...  
Keyword(s):  
Suture Material ◽  
Antibacterial Properties ◽  
Infectious Complications ◽  
Russian Language ◽  
The Body ◽  
Biologically Active ◽  
Wound Complications ◽  
Chemical Production ◽  
Suture Materials ◽  
Materials Used

The main method of joining the wound edges in surgery remains suturing with the help of threads. Unfortunately, suture materials used in surgery have a number of disadvantages. The percentage of postoperative wound complications remains high. One of these consequences is the failure of the seam, depending also on the material used in the operation. Suture material, as a genetically alien object, that is a foreign body, with a long stay in the tissues can lead to the development of complications: causes suppuration of wounds, formation of abscesses, peritonitis. Materials and methods: The analysis of modern Russian-language and foreign literature, also Internet sources devoted to the issue of issues and modern developments of antiseptic suture material. As a result, the choice and development of an ideal suture material that meets all the requirements, remains an unsolved and socially significant problem in surgery. Despite the variety of variations already offered, there is currently no suture material with antimicrobial activity on the market that would fully reduce the risk of developing infections in the surgical area. But the achievements of modern chemical production make it possible to develop biologically active suture materials that have the ability to resist the development of infectious complications in a wound and improve tissue regeneration without adversely affecting the body. In addition, the analysis showed an increased interest of developers to chitosan, due to its exceptional biocompatibility, bioresorbability, non-toxicity, antibacterial properties and hemostaticity.

scholarly journals A Comparative Study between Staplers and Suture (Silk 2-0) for Skin Closure in Cesarean Sections at Gandaki Medical College Teaching Hospital

2018 ◽  
Vol 10 (2) ◽  
pp. 1-5
Author(s):  
K Jahan ◽  
R Shrestha ◽  
P Adhikari ◽  
M Tripathi ◽  
C P Neupane ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Comparative Study ◽  
Hospital Stay ◽  
Teaching Hospital ◽  
College Teaching ◽  
Wound Dehiscence ◽  
Wound Complications ◽  
Skin Closure ◽  
Medical College ◽  
Suture Group

Background: Skin closure in the abdominal surgeries is an important factor that affects the prognosis of wound in terms of hospital stay as well as overall outcome of the surgery.Objectives: Cesarean section being the commonly performed operation, choice of suture material has the unexceptional role on it. This study has been performed with an objective to look for the merits and demerits of the skin closure by suture (Silk 2-0) and stapler.Methods: Prospective comparative study conducted among the patients admitted in a Maternity Ward of Gandaki Medical College Teaching Hospital for elective and emergency cesarean section. The comparison has been made in terms of time taken during the skin closure, presence or absence of soakage and wound dehiscence, day of suture removal and pain during the suture removal.Results: The average time taken for skin closure for suture group was found to be 5.46 min (±0.97) and the same for stapler group was found to be 1.22 min (±0.15) respectively. Similarly, the mean day of stitch removal in suture and staples were found to be 6.94 (±1.75) and 7.95 (±1.89) respectively. Surgical site infection (SSI) i.e. soakage was present in eight percent of those in suture group and 20% in stapler group. Wound dehiscence was present in two percent among the suture group and five percent among the stapler group. The severity of pain is more in stapler group than that of suture group during its removal.Conclusions: Our study concluded suture being superior to staplers for skin closure during cesarean section. Though time taken for the closure is less in the stapler group, other factors like wound complications, duration of hospital stay, pain during its removal favored for the suture to be used.J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page: 1-4

scholarly journals Does Concurrent Distal Tibiofibular Joint Arthrodesis Affect the Nonunion and Complication Rates of Tibiotalar Arthrodesis?

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0036
Author(s):  
Julie Neumann ◽  
Maxwell Weinberg ◽  
Chong Zhang ◽  
Charles Saltzman ◽  
Alexej Barg
Keyword(s):  
Wound Complication ◽  
Ankle Arthrodesis ◽  
Primary Outcome Measure ◽  
Secondary Outcome ◽  
Wound Complications ◽  
Complication Rates ◽  
Vein Thrombosis ◽  
Significant Difference ◽  
Tibiotalar Arthrodesis ◽  
End Stage

Category: Ankle Introduction/Purpose: Tibiotalar arthrodesis is generally a successful treatment option for patients with end stage ankle arthritis. However, there is a 9% risk of nonunion in patients undergoing primary tibiotalar arthrodesis. To date, it is unclear whether concurrent distal tibio-fibular joint arthrodesis affects this nonunion rate as there have been no studies directly comparing patients with and without arthrodesis of the distal tibio-fibular joint. The purpose of this clinical study is to compare the rate of nonunion in patients with a distal tibio-fibular fusion to those without a distal tibio-fibular fusion in the setting of a primary, open ankle arthrodesis. The hypothesis of this study was that the addition of a distal tibio-fibular fusion would decrease the nonunion rate in patients undergoing open ankle arthrodesis. Methods: This is a retrospective review of 521 consecutive patients from October 2002 to April 2016. 366 ankles from 354 unique patients met inclusion criteria. All patients underwent primary, open tibiotalar arthrodesis. 250 patients underwent open tibiotalar arthrodesis with a distal tibio-fibular fusion and 116 patients underwent open tibiotalar arthrodesis without a distal tibio-fibular fusion. Age, gender, body mass index, smoking, and preoperative radiographic deformity were controlled. The primary outcome measure was nonunion rate of tibiotalar arthrodesis. Secondary outcome measures were time to union, rate of wound complications, and rate of development of post-operative deep vein thrombosis (DVT)/Pulmonary embolism (PE). Results: Average age of the patients was 56.2 +/- 14.2 years. Mean follow-up time was 33.8 months. Unions were assessed on routine post-operative radiographs and by clinical examination. If there was a concern for nonunion, computerized tomography scan was utilized for further assessment. Nonunion rate of patients who had the distal tibio-fibular joint included was 19/250 (8%) and nonunion rate of those who did not have the distal tibio-fibular joint fused was 14/116 (12%) (p=0.16). There was no significant difference between those who had the distal tibio-fibular joint included versus who did not in wound complication rate (27% vs 31%, p=0.40), time to union (4.9 weeks versus 5 weeks, p =0.54), and DVT/PE rate (5% vs 3%, p=0.41), respectively [Table 1]. There were no major complications. Conclusion: To our knowledge, this is the first study directly comparing nonunion rates and complication rates in patients who underwent primary, open ankle arthrodesis with and without distal tibio-fibular joint arthrodesis. In this study, inclusion of the distal tibio-fibular joint in tibiotalar arthrodesis does not affect nonunion rate in patients undergoing primary, open ankle arthrodesis. Additionally, inclusion of the distal tibio-fibular joint does not affect rate of wound complication, time to union, and DVT/PE rate.

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