Prospective randomized controlled trial comparing the effect of Monocryl versus nylon sutures on patient- and observer-assessed outcomes following carpal tunnel surgery

Abstract

Controversy remains regarding the optimal technique and suture type for wound closure after carpal tunnel surgery. Adult patients undergoing open carpal tunnel release were prospectively randomized to receive either interrupted, buried Monocryl sutures or traditional nylon horizontal mattress sutures for their wound closures. At the 2-week and 6-week postoperative visits, Patient and Observer Scar Assessment Scale questionnaires were completed. At 2 weeks, patients and observers had a significantly better opinion of incisions closed with Monocryl. By 6 weeks, neither patients nor observers found a difference between suture types in any category. Scars of wounds closed with Monocryl did not change appreciably in appearance between 2 and 6 weeks. However, patients and observers noted significant improvement in scar appearance in the nylon group over time. Monocryl suture represents an effective method for carpal tunnel closure that leads to improved patient- and observer-reported outcome scores in the early postoperative period compared with nylon. Level of evidence: II

Analysis of early morphological and functional perivulnar changes in the mucosa of the cecum after suturing with different surgical threads

“…The scientific achievements of modern medicine make it possible to introduce more and more new means and treatment methods into surgical practice. Currently, the effectiveness of surgical interventions depends not only on the surgeon's professionalism but also on the quality of material and technical support, particularly on the properties of the suture material [9,10,15]. In abdominal surgery, particularly in pediatric surgery, the correct choice of suture material is the key to successful and rapid wound healing [13].…”