Dermatological surgery : an update on suture materials and techniques : part 2
Butt, E Ashraf, I Veitch, D
Butt, E
Ashraf, I
Veitch, D
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Affiliation
Birmingham City Hospital; Solihull Hospital; Leicester Royal Infirmary; Walsall Healthcare NHS Trust
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Publication date
2021-08-26
Subject
Research Projects
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Abstract
This is the second part of a two-part series summarizing the latest evidence related to suture materials and wound closure techniques in dermatological surgery. We critically appraised evidence focusing on the following consequences of suture choice: scar/cosmesis, pain, patient satisfaction, cost, infection and wound complications. We searched the databases MEDLINE, PubMed and Embase using the keywords 'skin surgery', 'dermatological surgery', 'sutures', 'braided sutures', 'monofilament sutures' and 'antibacterial sutures' to identify relevant English-language articles. This part of the review assesses the evidence for different types of buried sutures, including braided vs. monofilament sutures, longer-absorbing sutures and antibacterial sutures. The majority of trials were noted to be of poor quality, single-centre (thus lacking external validity) and underpowered, which presents challenges in comparing suture techniques in skin surgery. Future large-scale, multicentre, randomized trials are needed, with both surgeon and patient-assessed validated outcomes.
Citation
Butt E, Ashraf I, Veitch D, Wernham A. Dermatological surgery: an update on suture materials and techniques. Part 2. Clin Exp Dermatol. 2021 Dec;46(8):1411-1419.
Type
Article