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Comparison of Incision Closure in Hand Plastic Surgery Using Non-absorbable Versus Absorbable Sutures: A Systematic

Abdulaziz Alabdulkarim1, Ola M Bin Shilash2,3, Noura Farhan Alanazi2,3

  • 1Plastic Surgery, Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia. a.o.alabdulkarim@gmail.com.

Aesthetic Plastic Surgery
|January 9, 2025
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Summary
This summary is machine-generated.

This study found that both absorbable and non-absorbable sutures have similar patient satisfaction and complication rates in plastic hand surgery. Non-absorbable sutures showed slightly higher satisfaction, while absorbable sutures offer convenience and potentially lower dehiscence risk.

Keywords:
Absorbable suturesHand surgeryNon-absorbable suturesPlastic surgery

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Area of Science:

  • Plastic Surgery
  • Wound Closure Techniques
  • Surgical Materials Science

Background:

  • Suture choice significantly impacts surgical outcomes and patient satisfaction, particularly regarding scar appearance.
  • Traditional non-absorbable sutures necessitate removal, leading to patient discomfort and additional clinic visits.
  • Absorbable sutures offer convenience but raise questions about scar quality and efficacy.

Purpose of the Study:

  • To systematically review the plastic surgery literature on the efficacy and outcomes of absorbable versus non-absorbable sutures.
  • To provide clinically based evidence comparing patient satisfaction and complication rates between suture types.

Main Methods:

  • A systematic review of MEDLINE, EMBASE, and Cochrane Library databases was conducted.
  • Included studies were randomized controlled trials (RCTs) comparing absorbable sutures (AS) and non-absorbable sutures (NAS) in plastic hand surgery.
  • No age or sex limitations were imposed on patient recruitment.

Main Results:

  • The review analyzed 532 hands from 517 patients undergoing plastic hand surgery.
  • Patient satisfaction was 64% for non-absorbable sutures and 59% for absorbable sutures.
  • Wound inflammation rates were comparable: 3% for non-absorbable and 3.4% for absorbable sutures.

Conclusions:

  • Overall patient satisfaction and complication rates did not differ significantly between absorbable and non-absorbable sutures.
  • Non-absorbable sutures demonstrated slightly higher patient satisfaction.
  • Absorbable sutures may provide benefits such as convenience and a potentially lower risk of wound dehiscence.