Fast absorbing gut sutures in dermatologic surgery: a systematic review and meta-analysis

Area of Science:

• Dermatologic Surgery
• Wound Closure Techniques
• Suture Materials

Background:

• Fast gut sutures are increasingly used for their low reactivity and absorption.
• Their comparative cosmetic outcomes against other closure methods are not well-established.

Purpose of the Study:

• To compare the cosmetic outcomes and complication rates of fast gut sutures versus alternative wound closure methods in dermatologic surgery.

Main Methods:

• A systematic literature review of randomized controlled trials was performed.
• Data on patient and physician assessed cosmetic outcomes and complication rates were analyzed.

Main Results:

• Fast gut sutures showed better physician-assessed scar appearance than polypropylene sutures.
• No significant cosmetic difference was found between fast gut sutures and cyanoacrylate tissue adhesive.
• Fast gut sutures had a lower risk of wound dehiscence compared to tissue adhesive.

Conclusions:

• Polypropylene sutures may offer superior cosmetic results compared to fast gut sutures when no contraindications exist.
• Additional research is necessary to fully understand the cosmetic benefits and optimal application of fast gut sutures.