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Continuous versus interrupted suturing of traumatic lacerations: a time, cost, and complication rate comparison
S Boutros1, A B Weinfeld, J D Friedman
1Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York 10016, USA.
Background:
The most frequently used techniques in the repair of traumatic lacerations are interrupted and continuous suturing.
Methods:
We performed a prospective study of interrupted and continuous suturing techniques evaluating suturing rates, suture economy, and complication rates in the repair of 101 traumatic lacerations.
Results:
Continuous closure was accomplished at a statistically faster rate (mean, 0.276 cm/min) than interrupted closure (mean, 0.175 cm/min; p = 0.004). Less suture material was used in the continuous closures (0.321 suture packets/cm) than in interrupted closures (0.508 suture packets/cm; p = 0.03). No statistically significant difference existed in the complication rate between the two closure methods (continuous, 1 of 44; interrupted, 1 of 57; p = 0.59).
Conclusion:
Although suturing technique should be selected primarily on the basis of wound characteristics and surgeon preference, continuous suturing warrants consideration for the closure of traumatic lacerations because of its time/material economy and the lack increased complication rates.