A comparative study on primary wound closure by subcuticular suture using different suture materials with emphasis on co
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Hellenic Journal of Surgery (2013) 85:6, 374-379
A Comparative Study on Primary Wound Closure by Subcuticular Suture Using Different Suture Materials with Emphasis on Complications, Cosmesis and Cost-Effectiveness Arghya Basu, Shamita Chatterjee
Abstract Background and Purpose: There are different methods and materials for closing a surgical wound by subcuticular
stitch but controversy prevails as concerns the appropriate material for this stitch. This study aims to investigate the different suture materials and compare their technical accessibility, usefulness, complication rates, patient satisfaction and, above all, the general outcome. Methodology: Over a period of 8 months (June 2011 - January 2012), 160 patients underwent wound repair by
subcuticular stitch in our unit. A prospective analysis of patients’ case notes was performed. Results: Each type of thread has its own and specific type of complications which is distinct from other types of
threads. Among patients on whom polyglactin sutures were used, 15.79% and 14.29% (respectively) developed complications in the presence and absence of complicating comorbid factors. Specifically, 20% of 6 cm wounds sutured with polyglactin developed complications. The corresponding complication rates for poliglecaprone sutures were less at 9%, 5.9%, and 8.3%, respectively. The number of patients who are very happy and satisfied with poliglecaprone sutures is much greater than that of those on whom polyglactin sutures were used; the difference is statistically significant. In terms of cost, nylon is the cheapest thread whereas polypropylene is the costliest. Conclusion: Poliglecaprone seems to be the thread of choice with minimal complication rates both in the presence
and absence of comorbid factors in < 3 cm and 3-6 cm wounds. However, nylon appears to be more useful for wounds > 6cm since minimal complication rates are reported. Key words: Subcuticular suture, polyglactin, poliglecaprone, polypropylene, nylon
Introduction: Subcuticular stitches have been used for quite some time in the closure of surgical wounds with good cosmetic results. There are different methods and materials for closing a surgical wound using subcuticular stitches. Such stitches have now been proven to offer a great advantage in terms of cosmesis. Nonetheless, controversy still prevails as to the appropriate material for such a stitch. One school of thought advocates the use of absorbable sutures, whereas another expresses a preference for the non-absorbable type Arghya Basu MBBS (Hons.), MS (General Surgery) PGT Dept. of General Surgery, Medical College & Hospital, Kolkata, West Bengal, India. Shamita Chatterjee MBBS, MS (General Surgery), FMAS Associate. Professor of Surgery, Barddhaman Medical College & Hospital, Barddhaman, West Bengal, India. Corresponding author: Dr Arghya Basu, E-mail: [email protected], [email protected] Received 16 May 2013; Accepted 29 June 2013
Hellenic Journal of Surgery 85
[1]. There is also a difference of opinion as concerns the suture mater
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