Evaluation of the Outcome of IRPG 910 and Polypropylene in Terms of Cosmesis and Cost for Skin Closure in Cleft lip Surgery

Bhuyian, Md. Akbar Hossain; Chowdhury, Shahanara; Hoque, Shafiqul

doi:10.3329/jpsb.v1i1.19451

Cited by 2 publications

(13 citation statements)

References 4 publications

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“…At the same time, suture removal is a great concern for both the surgeons and parents. [ 7 ] Hence, we conducted a study to compare the appearance and course of scar and wound infection using an absorbable suture (Vicryl Rapide) and a nonabsorbable suture (nylon) for skin closure in nonsyndromic unilateral congenital cleft lip repair by the observer as well as patient's parent.…”

Section: Introductionmentioning

confidence: 99%

6-0 nylon versus 6-0 vicryl rapide in chieloplasty

Rao

Luthra

Arya

et al. 2016

Ann Maxillofac Surg

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Context:Facial cosmetic result is one of the most concerning issues for the parents who get their children operated for cleft lip. Moreover, the discomfort associated with the suture removal encourages one to use any new technology that may replace the need for suture placement. The type of suture material used in surgery has been a long-standing debate among surgeons. In this study, we compared rapidly absorbable suture material (Vicryl Rapide™) with nonabsorbable suture material (nylon).Aims:The aim of this study is to compare the appearance and course of scar, wound infection, and patient's parent perception using Vicryl Rapide and nylon in nonsyndromic congenital cleft lip repair.Settings and Design:This was a randomized prospective controlled clinical trial.Materials and Methods:Twenty patients, in the age group of 3–18 months treated for unilateral congenital cleft lip deformity, were included and randomly allocated to two groups with ten patients each. Skin suturing was done with 6-0 polyamide and 6-0 irradiated polyglactin in Groups A and B, respectively. Patients were evaluated at 1 week, 1, 3, 6 months, and 1 year postoperatively in person by the observer as well as by the patient's parent.Statistical Analysis Used:Descriptive statistical analysis was done using SPSS 20, and Student's t-test was applied.Results:It was found that Vicryl Rapide showed more hypopigmented scars and raised scars than nylon at the end of 1 year though overall appearance was comparable between the groups.Conclusions:Vicryl Rapide showed poorer cosmetic outcomes in terms of height and pigmentation of car as compared to nylon suture of same thickness. However, since scars tend to improve with time, a bigger sample size and a longer follow-up are required to generalize this statement.

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Section: Introductionmentioning

confidence: 99%

6-0 nylon versus 6-0 vicryl rapide in chieloplasty

Rao

Luthra

Arya

et al. 2016

Ann Maxillofac Surg

View full text Add to dashboard Cite

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“…Additional searches were also done. Finally, only 6 trials (Shinohara et al, 1996;Spauwen et al, 2006;Bhuiyan et al, 2010;Datarkar et al, 2014;Rao et al, 2016;Alawode et al, 2018) met all inclusion criteria, and they were selected for qualitative analysis. A total of 299 participants who underwent CLP repair were included in the outcome evaluations.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…A total of 299 participants who underwent CLP repair were included in the outcome evaluations. Of the 6 trials included in this review; 5 (Shinohara et al, 1996;Bhuiyan et al, 2010;Datarkar et al, 2014;Rao et al, 2016;Alawode et al, 2018) compared resorbable sutures with nonabsorbable sutures and only 1 (Spauwen et al, 2006)…”

Section: Description Of Studiesmentioning

confidence: 99%

“…The risk of bias of included studies was assessed via the designspecific risk of bias modified from the adapted risk of bias criteria for individual studies in systematic reviews of health care intervention by Viswanathan et al (2008). Of the 6 trials, 3 were RCTs (Datarkar et al, 2014;Rao et al, 2016;Alawode et al, 2018) and 3 were CCTs (Shinohara et al, 1996;Spauwen et al, 2006;Bhuiyan et al, 2010).…”

Section: Risk Of Bias Of Included Studiesmentioning

confidence: 99%

“…In 1 trial (Rao et al, 2016), the method of sequence generation was unclear and was assessed as being at unclear risk of bias. One CCT (Spauwen et al, 2006) reported adequate strategy for recruiting participants and was assessed as being at low risk of bias for the sequence generation domain while the remaining 2 CCTs (Shinohara et al, 1996;Bhuiyan et al, 2010) were assessed at an unclear risk of bias.…”

Section: Sequence Generation (Selection Bias)mentioning

confidence: 99%

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Comparing the Treatment Outcomes of Absorbable Sutures, Nonabsorbable Sutures, and Tissue Adhesives in Cleft Lip Repair: A Systematic Review

Egbunah

Adamson

Fashina

et al. 2021

The Cleft Palate Craniofacial Journal

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Objectives: To examine the literature and synthesize the available reports for the best possible option between absorbable, nonabsorbable, and tissue adhesives in cleft lip skin closure. Design: We conducted systematic searches for randomized controlled trials and controlled clinical trials in PubMed, Cochrane, Ovid Medline, and OpenGrey databases. Identified studies were retrieved and assessed for eligibility. All statistical analyses were done with Revman, version 5.4. Interventions: The intervention considered in this systematic review were techniques of cleft lip repair using resorbable sutures, nonabsorbable sutures, medical adhesives, or any combination of these. Outcome Measures: The primary outcomes assessed in the trials had to include any combination of the following: wound healing cosmesis and wound healing complications. While secondary outcomes considered were quality of life, direct and indirect costs to patients and health services, and participant satisfaction. Results: Only 6 studies met all inclusion criteria and were selected for qualitative analysis. A more favorable wound healing cosmesis was seen when nonabsorbable suture was used in cleft lip repair compared to absorbable sutures and tissue adhesives (CI, 0.65-4.35). This advantage was overshadowed by the significantly higher prevalence of postoperative complications when nonabsorbable sutures are used. Conclusion: Although the results point to more favorable cosmesis with nonabsorbable sutures and an overall more favorable outcome with either absorbable sutures or tissue adhesives, the 6 selected studies were assessed at an unclear risk of bias; therefore, the results of this study should be interpreted with caution and regarded as low-certainty evidence.

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Evaluation of the Outcome of IRPG 910 and Polypropylene in Terms of Cosmesis and Cost for Skin Closure in Cleft lip Surgery

Cited by 2 publications

References 4 publications

6-0 nylon versus 6-0 vicryl rapide in chieloplasty

6-0 nylon versus 6-0 vicryl rapide in chieloplasty

Comparing the Treatment Outcomes of Absorbable Sutures, Nonabsorbable Sutures, and Tissue Adhesives in Cleft Lip Repair: A Systematic Review

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