National survey demonstrates significant variation in suture use for dermatological procedures

Paradigms in Complex Facial Scar Management

“…20 No current consensus exists among subspecialties with regard to suture choice. 21,22 Ideally, the most nonreactive and smallest suture possible should be used with multilayered closure, minimization of tension, and appropriate tissue eversion.…”

From the Cochrane Library: Subcuticular sutures for skin closure in nonobstetric surgery

“…To the Editor: Dermatologic surgeons must choose from an array of surgical wound closure techniques and materials that may be poorly supported by evidence-many suture trials have been at high risk of bias or underpowered to detect the superiority of any one modality. 1 A thorough understanding of the effect of the suture choice on wound healing is critical to minimize postsurgical complications, including tissue necrosis, peri-wound edema, hematomas, and dehiscence. However, a recent national survey of dermatologists and plastic surgeons in the United Kingdom found that the choice of epidermal suture (eg, absorbable or non-absorbable, subcuticular only, skin glue/adhesive) varied widely, with the majority of surgeons guided by personal experience rather than evidence.…”

“…However, a recent national survey of dermatologists and plastic surgeons in the United Kingdom found that the choice of epidermal suture (eg, absorbable or non-absorbable, subcuticular only, skin glue/adhesive) varied widely, with the majority of surgeons guided by personal experience rather than evidence. 1 Although the application of subcuticular sutures is uptrending, coinciding with the increased availability of synthetic absorbable filaments, few studies have assessed the complications associated with subcuticular wound closure. 2 A 2020 Cochrane review, ''Subcuticular Sutures for Skin Closure in Nonobstetric Surgery,'' offers a comprehensive review of the efficacy and acceptability of subcuticular sutures for skin closure in nonobstetric surgery.…”