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Skin closure in hip surgery: subcuticular versus transdermal. A prospective randomized study
S A Sakka1, K Graham, A Abdulah
1Department of Orthopaedic Surgery, Bedford Hospital, England, United Kingdom.
Acta Orthopaedica Belgica
|January 1, 1995
Summary
Absorbable subcuticular sutures in hip surgery resulted in higher patient satisfaction and better cosmetic outcomes compared to nonabsorbable transdermal sutures. This method is effective and offers advantages for wound closure.
Area of Science:
- Surgical Innovation
- Wound Closure Techniques
- Orthopedic Surgery
Background:
- Traditional transdermal suturing with nonabsorbable material is common in hip surgery.
- Evaluating alternative wound closure methods is crucial for improving patient outcomes and satisfaction.
Purpose of the Study:
- To compare the effectiveness of absorbable subcuticular sutures versus nonabsorbable transdermal blanket sutures in hip surgery.
- To assess infection rates, patient satisfaction, cosmetic appearance, and resource utilization.
Main Methods:
- A randomized parallel-group clinical trial involving 80 patients (97 hip operations).
- Comparison of subcuticular absorbable (Dexon) versus transdermal nonabsorbable (silk) sutures.
- Evaluation of outcomes including infection, patient satisfaction, and cosmetic appearance via blinded assessment.
Main Results:
- No significant difference in superficial infection rates between the two groups.
- Significantly higher patient satisfaction with scars in the subcuticular group (p < 0.05).
- Superior cosmetic results observed with subcuticular closure (p < 0.01), with reduced nursing time and cost.
Conclusions:
- Absorbable subcuticular skin closure is an effective and advantageous method for hip surgery.
- This technique improves patient satisfaction and cosmetic outcomes compared to traditional transdermal suturing.
- Offers potential benefits in terms of reduced complications and improved aesthetics.