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Subcuticular Prolene or PDS for skin closure?

M N Vipond1, A F Higgins

  • 1Hinchingbrooke Hospital, Huntingdon, UK.

Journal of the Royal College of Surgeons of Edinburgh
|April 1, 1991
PubMed
Summary
This summary is machine-generated.

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This study found no significant differences in wound complications or cosmetic outcomes between polypropylene (Prolene) and polydioxanone (PDS) sutures for abdominal surgery. Absorbable subcuticular sutures are safe for all wound types.

Area of Science:

  • Surgical wound closure techniques
  • Biomaterials in surgery
  • Wound healing and management

Background:

  • Subcuticular wound closure is a common surgical technique.
  • Polypropylene (Prolene) and polydioxanone (PDS) are frequently used suture materials.
  • Evaluating suture efficacy and patient outcomes is crucial for surgical practice.

Purpose of the Study:

  • To compare the safety and cosmetic results of polypropylene (Prolene) versus polydioxanone (PDS) sutures for subcuticular wound closure in abdominal surgery.
  • To assess wound complications and patient satisfaction at discharge and 3 months post-surgery.
  • To determine the suitability of absorbable subcuticular sutures for all wound classes.

Main Methods:

  • Randomized allocation of 100 patients undergoing abdominal surgery to either polypropylene or polydioxanone subcuticular sutures.

Related Experiment Videos

  • Assessment of 91 patients at discharge and 3 months post-surgery.
  • Evaluation of wound complications (e.g., infection) and cosmetic outcomes.

    • Main Results:

    • No statistically significant differences were observed between polypropylene (Prolene) and polydioxanone (PDS) sutures regarding wound complications or cosmetic results.
    • The overall wound infection rate was 5.5%.
    • Cosmetic outcomes were equally acceptable for both suture materials.

    Conclusions:

    • Both polypropylene (Prolene) and polydioxanone (PDS) sutures are safe and effective for subcuticular wound closure in abdominal surgery.
    • Absorbable subcuticular sutures, such as PDS, can be safely used in all classes of surgical wounds.
    • The choice between Prolene and PDS for subcuticular closure may not significantly impact short-term wound healing or aesthetic outcomes.