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Related Experiment Videos

Is a fat stitch necessary?

P J Milewski, H Thomson

    The British Journal of Surgery
    |June 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Subcutaneous fat stitches using plain catgut do not reduce wound infection or hematoma rates in surgical patients. This study found no significant benefit from using this specific suture technique in either clean or contaminated procedures.

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    Area of Science:

    • Surgical techniques
    • Wound healing
    • Suturing materials

    Background:

    • Subcutaneous fat stitches are sometimes used to reduce wound complications.
    • The efficacy of plain catgut for subcutaneous fat suturing requires further investigation.

    Purpose of the Study:

    • To evaluate the effectiveness of plain catgut subcutaneous fat stitches in preventing wound complications.
    • To compare wound infection and hematoma rates between patients receiving and not receiving fat stitches.

    Main Methods:

    • A randomized trial involving 208 surgical patients.
    • Comparison of wound infection and hematoma rates between groups with and without plain catgut subcutaneous fat stitches.
    • Analysis of outcomes in both clean and contaminated surgical operations.

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    Main Results:

    • No significant difference in wound infection rates was observed between the fat stitch group and the no-stitch group for clean operations (4/74 vs 1/68).
    • Similarly, no appreciable difference in infection rates was found for contaminated operations (4/27 vs 4/41).
    • Hematoma rates were also comparable between the two groups.

    Conclusions:

    • The use of plain catgut subcutaneous fat stitches offers no significant benefit in reducing wound infection or hematoma rates.
    • Current evidence does not support the routine use of this specific suturing technique in surgical wound closure.