Comparison of skin closure using continuous and interrupted nylon sutures

McLean, N.R.; Fyfe, Alasdair H.B.; Flint, Enrique; Irvine, Brenda; Calvert, M H

doi:10.1002/bjs.1800670908

Cited by 21 publications

(8 citation statements)

References 4 publications

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“…In our study, standard techniques of wound closure were followed in all the cases but no association was found with the type of closure similar to the study by McLean NR et al who found the similar incidence of wound infection with continuous or interrupted sutures. 15 Kore S et al did comparison of closure of subcutaneous tissue versus non-closure in relation to wound disruption after abdominal hysterectomy in obese patients and concluded that closure of the subcutaneous tissue after abdominal hysterectomy of women with at least 2.5 cms of subcutaneous tissue lowers the overall rate of complications leading to disruption of the incision. 16 Haddad V et al studied abdominal wound dehiscence and evisceration and the contributing factors so as to improve mortality.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting post-operative wound gaping and their outcome in obstetrical and gynecological abdominal surgeries

Narang

Nandmer

Sapkal

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Postoperative wound gaping is a very traumatic event both for patient and treating doctor as it adds economical and psychological burden to the patient and the family. This study was conducted with the aim to find out the various factors affecting postoperative wound gaping and their outcome in obstetrical and gynecological abdominal surgeries.Methods: This Retrospective observational study was carried out in the Department of Obstetrics and Gynecology at Peoples College of medical sciences and research Centre, Bhopal, India from 1st May 2014 to 31st October 2015.Results: A total of 1310 patients underwent major obstetrical and gynecological abdominal surgeries, out of which 29 cases developed postoperative wound gaping with the percentage being 2.2%. The rate was found to be higher among the emergency obstetric case (51.7%). Associated risk factors being anemia (72%), obesity (65%), hypoproteinemia (62%) and diabetes (52%) among gynecological surgeries and prolonged rupture of membranes (53%), emergency LSCS and previous LSCS (47%) among the obstetric cases. The common causative organism was found to be E. coli (28.5%) followed by acinetobacter and pseudomonas.Conclusions: Anemia, obesity, hypoproteinemia, diabetes, history of previous surgeries, emergency operations are the high risk factors for wound gaping in both obstetrics and gynecology surgeries. Correction of anemia, diabetes preoperatively, high protein diet and prevention of other risk factors like avoiding prolonged labor, use potent antibiotics in cases of rupture of membrane, timely intervention, provide well equipped wards with clean environment would be rewarding for better outcome of the surgery.

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Section: Discussionmentioning

confidence: 99%

Factors affecting post-operative wound gaping and their outcome in obstetrical and gynecological abdominal surgeries

Narang

Nandmer

Sapkal

2017

Int J Reprod Contracept Obstet Gynecol

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“…If the latter situation is desired, one can still tie the end of the suture to a remaining loop to prevent the unraveling of the entire suture. Other theoretical disadvantages, which include an increased frequency of wound infections or a decreased final tensile strength, have not yet been proven in animal studies or actual clinical situations 30,31 . Because of the economy of time and good results obtained with the running continuous suture, this technique can be valuable in many circumstances.…”

Section: Common Suturing Techniquesmentioning

confidence: 99%

“…The interrupted suture takes longer to perform than a running continuous suture and is prone to causing “railroad track” scars on cutaneous surfaces (Figure 9). 31 An advantage to interrupted sutures is that more selective adjustments of wound edges can be made than in a running continuous suture when buried sutures have inadequately evened out the wound edges. The procedure involves using a needle to enter or exit the skin on the high side more superficially and exit or enter the skin on the low side more deeply.…”

Section: Common Suturing Techniquesmentioning

confidence: 99%

A Review of Sutures and Suturing Techniques

Moy

Waldman

Hein

1992

The Journal of Dermatologic Surgery and Oncology

201

160

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The ideal suture is strong, handles easily, and forms secure knots. It causes minimal tissue inflammation and does not promote infection. It stretches and accommodates wound edema. Although no single suture possesses all of these features, proper selection of sutures helps achieve better results in skin surgery. Proper suturing technique is essential for obtaining good cosmetic results and avoiding scarring and poor wound healing. Techniques that must be mastered include good eversion of skin edges, avoiding suture marks, maintaining uniform tensile strength along the skin edges, and precise approximation along skin edges.

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“…Mclean et al compared interrupted and continuous nylon skin sutures (not subcuticular skin sutures) in 105 laparotomy wounds to evaluate wound healing and wound infection. 22 The incidences of wound infection were similar (3.7% and 3.9%, respectively), and all wounds healed satisfactorily.…”

Section: Discussionmentioning

confidence: 77%

A Randomized Controlled Trial of Running Versus Interrupted Subcuticular Sutures for Skin Closure in Open Gastric Surgery

Inoue

Michiura

Fukui

et al. 2018

International Surgery

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The aim of this study was to compare the scar quality associated with different types of subcuticular suture techniques: running or interrupted. Summary of Background Data: Subcuticular suture is a preferred skin closure method even in gastrointestinal surgery. Two methods for subcuticular suture are used: running or interrupted sutures. Methods: Inclusion criteria were as follows: age 20 years; American Society of Anesthesiologists performance status 1 to 3; histologically proven adenocarcinoma of the stomach; no evidence of distant metastases or disease considered unresectable; no prior upper abdominal surgery; no uncontrolled infections, diabetes, or cardiac disease; and adequate renal function. Patients were randomly assigned to running subcuticular suture or interrupted subcuticular suture. Scar areas were calculated using a digital photograph calculator at about 7 months after surgery. The observer scar assessment scale (OSAS) was used for scar assessment. Results: Between April 10, 2009, and February 28, 2012, 220 patients were enrolled into this study and 201 patients were evaluated. There was no difference in scar area between the interrupted group and the running group [0.97 cm 2 (95% CI: 0.73-1.21) in the interrupted group and 1.17 cm 2 (95% CI: 0.91-1.42, P ¼ 0.27) in the running group]. Three observers performed the OSAS, for which no significant difference was detected across the closure groups.

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Comparison of skin closure using continuous and interrupted nylon sutures

Cited by 21 publications

References 4 publications

Factors affecting post-operative wound gaping and their outcome in obstetrical and gynecological abdominal surgeries

Factors affecting post-operative wound gaping and their outcome in obstetrical and gynecological abdominal surgeries

A Review of Sutures and Suturing Techniques

A Randomized Controlled Trial of Running Versus Interrupted Subcuticular Sutures for Skin Closure in Open Gastric Surgery

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