Randomised controlled study of two different techniques of skin suture in endoscopic release of carpal tunnel

Hansen, Torben Bæk; Kirkeby, Lone; Fisker, Heidi; Larsen, Kristian

doi:10.1080/02844310902955763

Cited by 15 publications

(12 citation statements)

References 7 publications

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“…24 , 25 This difference in their properties has been investigated for their association with postoperative pain, final aesthetic result and also for possible postoperative complications. 5 – 8 , 10 , 12 , 13 , 24…”

Section: Discussionmentioning

confidence: 99%

“…However, no statistically significant difference was observed between the two groups, as far as postoperative pain is concerned, both at two and six weeks, which is in line with the findings of reported studies. 5 , 6 , 8 , 11 , 13 It seems that the type of suture affects neither postoperative pain nor the sensitivity of the surgical wound. In a reported study 26 that stated higher levels of pain, the pain referred to the time of removal of the non-absorbable sutures and not the overall postoperative pain, whereas in another paper, 11 where higher levels of pain were reported on the 10th day in the group with the non-absorbable suture, no differences were observed at the end of the 6th week between the nylon suture and the vicryl suture group.…”

Section: Discussionmentioning

confidence: 99%

“…These results fall in line with current bibliographic comparisons of absorbable and non-absorbable sutures as far as the final cosmetic outcome of the surgical scar is concerned. 5 , 6 , 8 , 10 , 12 , 13 , 26 …”

Section: Discussionmentioning

confidence: 99%

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Comparative study of surgical wound closure with nylon interrupted sutures and running subcuticular vicryl rapide suture after open release of the carpal tunnel

Tzimas¹,

Kotsias²,

Galanis³

et al. 2022

Scars, Burns & Healing

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Background Surgical decompression of the carpal tunnel is considered the method of choice for its treatment with satisfactory results documented. Various methods and suturing materials have been used for closure of the surgical wound. In the present study, we compared interrupted mattress closure by means of nylon suture to running subcuticular closure with vicryl rapide suture. As far as we know, there is no similar study in the literature. Methods A total of twenty patients were included in the study. Ten of them had their surgical wound closed with 3.0 nylon suture in an interrupted fashion and for the rest, a running subcuticular 3.0 vicryl rapide was used. All patients filled in a questionnaire about VAS perceived pain and a Quick DASH score sheet, preoperatively, at two and six weeks postoperatively. The cosmesis of the scar was assessed using the POSAS v2.0 system at two and six weeks after surgery and overall incidence of infections was noted as well. Results There was no statistically important difference between the two groups of patients in regards to postoperative VAS pain levels at two and six weeks. Likewise, no statistically significant difference was evident as far as Quick DASH score, POSAS score and infections were concerned. Conclusions Our results suggest that the use of running subcuticular vicryl rapide suture is an attractive alternative to interrupted nylon sutures for closure after open carpal tunnel decompression, lacking any significant drawbacks. Lay Summary Surgery for carpal tunnel decompression is considered the method of choice for its treatment with documented satisfactory results. Various methods and suturing materials have been used for closure of the surgical wound. In the present study, we compared the use of a non-absorbable suture, placed intermittently to an absorbable continuous intradermal suture. A total of twenty patients were included in the study. Half of them had their wound closed with the absorbable suture and the other half with the non-absorbable suture, as described above. All patients were evaluated as far as pain, scar characteristics, functional outcomes of the operated hand and incidence of infection, at two and six weeks after surgery. After analysis of the data, no significant differences were found between the two groups, suggesting that both of these techniques are equally safe and efficacious.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparative study of surgical wound closure with nylon interrupted sutures and running subcuticular vicryl rapide suture after open release of the carpal tunnel

Tzimas¹,

Kotsias²,

Galanis³

et al. 2022

Scars, Burns & Healing

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show abstract

“…Some studies believe that have examined the type of suture materials and their impact on the results after open carpal tunnel release [ 19 – 24 ]. We believe that the closure skin methods can also have an impact on the results of treatment after open surgical decompression in carpal tunnel syndrome.…”

Section: Discussionmentioning

confidence: 99%

Comparing the running subcuticular technique versus the Donati technique in open carpal tunnel release: a randomized controlled trial

et al. 2021

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Background There are various skin suture techniques for wound closure following carpal tunnel release, and well-performed suturing will result in low post-operative scar tenderness. The aim of this study was to compare the Donati suture technique and running subcuticular technique in terms of surgical scar, post-operative pain and functional outcome in open carpal tunnel release. Methods One-hundred forty-two patients were randomized using a computer-generated random number table into two groups receiving either running subcuticular suturing or Donati suturing after surgical intervention. We evaluated postoperative scarring using the Patient and Observer Scar Assessment Scale (POSAS), pain intensity using a verbal numerical rating scale, and functional outcomes using the Thai version of the Boston Carpal Tunnel Questionnaire after surgical decompression for carpal tunnel syndrome at 2, 6, and 12 weeks. Continuous data are reported as mean ± SD while normally distributed or as median (interquartile range) when the distribution was skewed. Results Lower scores at 2 weeks were given by the patients receiving the running subcuticular suture technique than the Donati suture technique (15.3 ± 4.8 vs 17 ± 4.6, respectively, P < 0.05) while the observer scores were not significantly different (15.6 ± 5.8 vs 16.7 ± 5.2, respectively, P = 0.15). At both 6 and 12 weeks post-surgical decompression both patient and observer scores were not significantly different. There were no differences between the groups in terms of VNRS pain scores and functional Boston Carpal Tunnel Scores at all time points. Conclusions This randomized controlled trial found that although scarring assessments were slightly better in the earliest period following wound closure after surgical decompression in carpal tunnel syndrome using the running subcuticular suture, the final results at 3 months postoperative were not significantly different. Trial registration The study was registered at https://www.thaiclinicaltrials.org/ (TCTR20191204002).

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“…The sample size was calculated based on data from a previous study of post-operative pain (collected using a VAS) in similar ECTR patients, in which a median score of pain in the hand of 2 (SD 2) in the first hours after the operation was found (Hansen et al, 2009). The minimal difference in VAS was set at 2.…”

Section: Introductionmentioning

confidence: 99%

Local anaesthesia versus intravenous regional anaesthesia in endoscopic carpal tunnel release: a randomized controlled trial

Sørensen¹,

Dalsgaard

Hansen

2012

J Hand Surg Eur Vol

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We carried out a prospective randomized trial in 38 patients to compare intravenous regional anaesthesia with local anaesthesia in endoscopic carpal tunnel release using the Agee single-portal technique. There was no significant difference in reported pain during surgery. Immediately after surgery, patients in the local anaesthesia group reported significantly less pain in the hand and at the tourniquet. Two hours after surgery, patients in the local anaesthesia group reported significantly less hand pain. Moreover, significantly fewer patients in the local anaesthetic group required additional analgesics during the first 2 hours after operation. We conclude that local anaesthesia reduces post-operative pain in endoscopic carpal tunnel release compared with intravenous regional anaesthesia.

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Randomised controlled study of two different techniques of skin suture in endoscopic release of carpal tunnel

Cited by 15 publications

References 7 publications

Comparative study of surgical wound closure with nylon interrupted sutures and running subcuticular vicryl rapide suture after open release of the carpal tunnel

Comparative study of surgical wound closure with nylon interrupted sutures and running subcuticular vicryl rapide suture after open release of the carpal tunnel

Comparing the running subcuticular technique versus the Donati technique in open carpal tunnel release: a randomized controlled trial

Local anaesthesia versus intravenous regional anaesthesia in endoscopic carpal tunnel release: a randomized controlled trial

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