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Surgical Correction for Pediatric Epiblepharon and Trichiasis

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Non-absorbable interrupted versus absorbable continuous skin closure in pediatric appendectomies.

S L Pauniaho¹, T Lahdes-Vasama, M T Helminen

¹Pediatric Research Centre, Medical School, Tampere University Hospital, Tampere, Finland. satu-liisa.pauniaho@uta.fi

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society

|November 4, 2010

Summary

Absorbable sutures are safe for closing pediatric appendectomy wounds, reducing complications like wound dehiscence compared to non-absorbable sutures. This method avoids stitch removal, benefiting children and healthcare costs.

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Area of Science:

Pediatric surgery
Wound closure techniques
Surgical outcomes

Background:

Non-absorbable sutures are common for pediatric appendectomy wound closure.
Stitch removal incurs costs and causes distress in children.

Purpose of the Study:

To compare interrupted non-absorbable (NA) sutures with continuous intradermal absorbable (A) sutures for appendectomy wounds in children.
To assess if absorbable suturing increases complication risks.

Main Methods:

Prospective randomized trial of 198 children (ages 4-18) undergoing appendectomy.
Groups: NA skin closure vs. A skin closure.
Evaluation of wounds, inflammatory markers, and wound appearance post-surgery.

Main Results:

Low overall wound infection rates (1.8%) in both groups.
No significant differences in inflammatory markers or wound appearance.
Partial wound dehiscence occurred in 10.3% of the NA group vs. 0% in the A group.

Conclusions:

Continuous absorbable sutures are a safe and effective option for pediatric appendectomy wound closure.
Absorbable sutures can be used even in complicated appendicitis cases.
This method eliminates the need for stitch removal, reducing patient anxiety and healthcare costs.