Vicryl Rapide versus Vicryl suture in skin closure of the hand in children: a randomized prospective study

Area of Science:

• Pediatric Surgery
• Surgical Materials Science

Background:

• Absorbable sutures are commonly used in pediatric surgery.
• The choice of suture material can impact wound healing and complication rates.

Purpose of the Study:

• To compare the efficacy and safety of Vicryl Rapide versus Vicryl absorbable sutures in pediatric hand surgery.
• To evaluate wound complications and suture reactions associated with each suture type.

Main Methods:

• A randomized prospective clinical study involving 60 children undergoing elective hand surgery.
• Children were allocated to receive either Vicryl Rapide or Vicryl sutures (30 per group).
• Wound complications and suture reactions were assessed at 3 and 6 weeks post-surgery.

Main Results:

• No wound complications or suture reactions were observed in the Vicryl Rapide group.
• Five cases of wound complications occurred in the Vicryl group, attributed to delayed suture absorption.
• A statistically significant difference was found between the groups (P=0.03).

Conclusions:

• Vicryl Rapide sutures demonstrate a more favorable profile for pediatric hand surgery compared to Vicryl.
• The faster absorption rate of Vicryl Rapide minimizes risks associated with prolonged suture presence.
• These findings suggest Vicryl Rapide as a preferred choice for pediatric hand surgical procedures.