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Hypertrophic scarring: Dexon suture in a randomized trial.
The British Journal of Surgery
|April 1, 1979
Summary
The study found that 2/0 Dexon sutures used subcuticularly increased hypertrophic scarring in specific wound types. Patient sex was a greater factor in scarring than suture type, with no difference in patient scar appearance perception.
Area of Science:
- Surgical techniques
- Wound healing
- Dermatology
Background:
- Hypertrophic scarring is a common complication following surgical procedures.
- Various suture materials and techniques are used for wound closure, each with potential impacts on scar formation.
Purpose of the Study:
- To compare the incidence of hypertrophic scarring with three different skin suture methods.
- To evaluate the influence of suture type and patient sex on scar outcomes.
Main Methods:
- A randomized prospective trial was conducted.
- Three distinct skin suture methods were employed for wound closure.
- Hypertrophic scarring incidence was assessed in paramedian and inguinal wounds.
Main Results:
- An increased incidence of hypertrophic scarring was observed with the use of 2/0 Dexon suture when placed subcuticularly.
- Patient sex demonstrated a greater variance in scarring outcomes compared to the type of suture used.
- Patient satisfaction with scar appearance was consistent across all three tested suture methods.
Conclusions:
- Subcuticular 2/0 Dexon suture may increase the risk of hypertrophic scarring in certain surgical sites.
- Patient biological factors, such as sex, play a significant role in scar development.
- Current skin closure methods evaluated did not significantly differ in patient-perceived scar aesthetics.