DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20184048

A study of skin closure of surgical wound by subcuticular sutures with polyglactin 910 fast (rapide vicryl) in planned surgery

Ashwinkumar S. Gadhvi, Dhavalkumar A. Bhimani, Udit I. Gadhvi, Darshil K. Rajgor

Abstract


Background: The skin is the largest and among the most complex organs of the body. Although the skin functions simply as a protective barrier to interface with our environment, its structure and physiology are complex. Suturing is commonly used today as a mean by which wounds are closed to prevent infection and fasten healing with minimal scarring. Cosmetic results of healed wound are also important and as awareness is increasing among general population, they are more concerned with cosmetic scar. Various techniques are developed to give cosmetically better scar, like subcuticular suture, adhesive tapes, staplers, etc.

Methods: Study was randomized, prospective, observational and longitudinal including 100 patients, selected according to inclusion criteria.

Results: Cosmetic result of the study were good; 87% patients were having good to excellent cosmetic results. And 13% patients were having scar which was cosmetically not good (scar was either hypertrophied or thickened). complication was not significant (only 3% having on post-operative day 5).

Conclusions: Surgical wound closure with subcuticular suture with absorbable suture material gives excellent cosmetic results, cheaper and cost-effective compare to other technique of wound closure having similar cosmetic result. As the removal of suture is not required, no follow up visit needed, and it saves the extra time and expenditure of patient.


Keywords


Absorbable suture, polyglactin 910 fast (rapide vicryl), Skin closure, Subcuticular method

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References


Byrne C, Hardman M, Nield K. Covering the limb-formation of the integument. J Anatomy. 2003 Jan;202(1):113-23.

Robins and Cotran. Pathologic basic of disease. 8th Edition. Saunders. 2010.

Swanson NA. Basic Techniques. Atlas of cutaneous surgery. Boston Little Brown, 1987:26-49.

AF, Borges. Techniques of wound suture. elective incision and scar revision. Boston: Little Brown. 1973;65-76.

Vicryl Rapideā„¢ (polyglactin 910). Available at: Suturehttp://gb.ethicon.com/healthcare-professionals/products/wound-closure/vicryl-rapide-polyglactin-910.

Moy R, Waldman B, Hein Dw. A review of sutures and suturing techniques. J Dermatol Surg Oncol. 1992;18:785-95.

Optimal Suture Results: Slideshow - Medscape Reference. Available at: http://img.medscape.com/pi/features/slideshow-slide/suture/fig8.jpg.

Patel K, Rabari M, Jain AP, Saxena AK. Comparison between interrupted vertical mattress suture versus skin stapler versus subcuticular suture for skin closure in clean surgery. Int J Res Med. 2014;3(3);164-8.

Rao VV, D'Souza C, Kumar S, Kumar A. Comparative study of thyroidectomy wound closure using tissue glue versus subcuticular suture. Thyroid Research and Practice. 2016 Sep 1;13(3):115.

Ademuyiwa AO, Sowande OA, Adejuyigbe O, Usang UE, Bakare TIB, Anyanwu LJC. Evaluation of cosmetic appearance of herniotomy wound scars in African children: Comparison of tissue glue and subcuticular suturing. Indian J Plast Surg. 2009 Jul-Dec; 42(2):199-203.

Ong CC, Jacobsen AS, Joseph VT. Comparing wound closure using tissue glue versus subcuticular suture for pediatric surgical incisions: a prospective, randomised trial. Pediatr Surg Int. 2002 Sep;18(5-6):553-5.