Use of knotless barbed sutures for closure of intraoral incisions for maxillofacial trauma: a randomised controlled trial

Sharma, Abhinav K.; Doss, Guru Prasad Thulasi; Panneerselvam, Elavenil; Ganesh, Sriraam Kasi; Raja, V.B. Krishna Kumar

doi:10.1016/j.bjoms.2020.08.015

Cited by 5 publications

(8 citation statements)

References 18 publications

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“…According to the study performed by Sharma et al [43], the knotless suture group had no wound dehiscence, and wound healing was determined to be better and statistically significant in the knotless suture group compared to the polyglactin 910 suture group.Crosetti et al [42] also demonstrated that when suturing a free flap to the recipient site with unidirectional barbed sutures, the complication rate is lower, especially in terms of dehiscence. All of these studies supported the findings of our research.…”

Section: Discussionmentioning

confidence: 99%

“…The barbs are responsible for the knotless sutures' anchoring in the tissue. Barbs are evenly spaced throughout the long axis of the suture material, allowing them to efficiently engage the tissues at 1mm intervals [43].The barbs help to distribute stresses evenly across a broader contact area along the wound edge, which is important for wound healing [41]. Because of the knotless nature of barbed sutures, there is a lower incidence of inflammation and irritation to the localised tissue, resulting in faster wound healing [7].…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Knotless Barbed Sutures for Intraoral Closure after Impacted Mandibular Third Molar Surgery: A Split Mouth Randomized Clinical Trial

Krishnan

Periasamy

Kumar

2022

JPRI

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Objectives: The purpose of this clinical trial is to assess the efficiency of 3-0 knotless barbed suture (polydioxanone) with 4-0 polyglactin 910 (vicryl) in wound closure following impacted mandibular third molar surgery. Methods: The split-mouth study involved 20 patients who were referred to the Oral Surgery Clinic at the Department of Oral and Maxillofacial Surgery for bilateral mandibular third molar impaction with equal difficulty index. Simple randomization was used to distribute the samples. Following extraction, the wounds were closed with 3-0 knotless sutures for the study group and 4-0 polyglactin 910 (vicryl) for the control group. Following surgical extraction in relation to infected mandibular molars under local anesthesia, the clinical outcome parameters that were measured were (1) time taken to achieve wound closure and hemostasis, and (2) post-operative wound healing using "Landry's wound healing index" on the 1st, 3rd, and 7th post-operative days. Results: In this study, we discovered that the average time taken to approximate a wound was 2.69 minutes for the study group and 4.27 minutes for the control group. The research and control groups had a statistically significant difference in suturing time (p-value< 0.05). On all postoperative review days, wound healing in the study group was shown to be better and statistically significant than in the control group (p-value <0.05). Conclusion: Within the limitations of the present study, knotless barbed suture is a promising alternative to conventional sutures for intra-oral wound closure as it reduces suturing time and facilitates effective wound closure following surgical removal of impacted mandibular third molars.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effectiveness of Knotless Barbed Sutures for Intraoral Closure after Impacted Mandibular Third Molar Surgery: A Split Mouth Randomized Clinical Trial

Krishnan

Periasamy

Kumar

2022

JPRI

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“…The knots also act as a nidus for infection, and food debris collection, and promote the colonization of bacteria. 13 , 14 Other associated complications include localized tissue ischemia and loss of wound strength. Overtightening of the knots to prevent slippage can also impair fibroblast proliferation.…”

Section: Discussionmentioning

confidence: 99%

Knotless barbed suture versus conventional polydioxanone suture material for intraoral surgical incisions - A randomized controlled trial

Idupulapati,

Ramakrishnan,

Scott

et al. 2023

Journal of Oral Biology and Craniofacial Research

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“…Ganesh, K.R. VB et al [10], the potency of knotless wound closure device in intra-mucosal closure of wound for maxillofacial trauma in comparison with the conventional one (vicryl suture) was evaluated.…”

Section: Discussionmentioning

confidence: 99%

“…The results showed that Knotless suture was found to be effective for mucosal wound closure as it cuts down the suturing time, promotes effectual closure of wound and lowers the complications related to knot. Knotless suture simplifies the suturing technique, reduces the intra-operative time and provides good tissue approximation fostering wound healing [10].…”

Section: Us Patent Wasmentioning

confidence: 99%

Comparative Efficacy of Knotless (Polyglyconate) Over Conventional (Poliglecaprone 25) Suture as a Wound Closure Material in Mandibular Impacted third Molar Surgery (MI3M)

Agrawal

Jadhav

2021

JPRI

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Background: The third molar surgery is the most commonly practised minor oral surgery in dental clinic. Post-operatively the patient suffers from pain, swelling and trismus due to tissue injury during surgical procedure. After extraction of third molar, conventional sutures are used for primary closure of the wound. During the procedure the clinician get difficulties intra-orally related to knot placement, limitation of instrument accessibility and knot slippage. Barbed sutures are the knotless suture which help in adhering the tissue while suturing. Objectives: The primary focus of the study is to evaluate the efficacy of knotless suture as a wound closure agent in terms of post-operative pain, swelling, trismus, degree of wound healing and quality of life over the conventional one. Methodology: Two groups (study & control) with 20 individuals as subjects are considered for the study model. Systemically healthy individual with presence of at least one mesioangular or horizontal or vertically oriented mandibular impacted third molar(MI3M) with similar difficulty index, depth of, and relationship with ramus will be included in the study sample. Wound closure would be achieved by using 3-0 knotless suture using continuous sub-cuticular suturing technique for the study group and 3-0 conventional suture using simple interrupted suturing technique for control group respectively. Post-operatively measurement of pain, swelling, trismus, degree of wound healing and quality of life will be done. Expected Results: Knotless suture for closure of wound after MI3M surgery will be effective in reducing post-operative pain, edema and trismus and also helpful in better wound healing and improve quality of life. Conclusion: Use of knotless barbed suture after surgical removal of lower impacted third molar to simplify intra-oral suturing technique and to reduce post-operative pain, swelling, trimus and knot related complications would be a familiar and effective way which could be executed by a dental practitioner himself.

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Use of knotless barbed sutures for closure of intraoral incisions for maxillofacial trauma: a randomised controlled trial

Cited by 5 publications

References 18 publications

Effectiveness of Knotless Barbed Sutures for Intraoral Closure after Impacted Mandibular Third Molar Surgery: A Split Mouth Randomized Clinical Trial

Effectiveness of Knotless Barbed Sutures for Intraoral Closure after Impacted Mandibular Third Molar Surgery: A Split Mouth Randomized Clinical Trial

Knotless barbed suture versus conventional polydioxanone suture material for intraoral surgical incisions - A randomized controlled trial

Comparative Efficacy of Knotless (Polyglyconate) Over Conventional (Poliglecaprone 25) Suture as a Wound Closure Material in Mandibular Impacted third Molar Surgery (MI3M)

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