Equal cosmetic outcomes with 5-0 poliglecaprone-25 versus 6-0 polypropylene for superficial closures

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Laura B RosenzweigGeorge J Hruza

Abstract

Cutaneous sutures should provide an aesthetically pleasing result. After placing subcutaneous sutures, enough absorbable suture often remains for the superficial closure. Mohs surgeons often use a nonabsorbable suture to close the superficial layer to obtain cosmetically elegant results, but using this additional suture is less cost effective than using the remaining absorbable suture. To compare the cosmetic results of simple running sutures using an absorbable suture material (5-0 poliglecaprone-25) with those of a nonabsorbable suture (6-0 polypropylene) in primary closures of suitable facial Mohs defects. Fifty-two patients with 57 facial Mohs surgery defects appropriate for multilayer primary repair had the defects prospectively randomized into a side-by-side comparison. After closure of the deep layers with 5-0 poliglecaprone-25 sutures, half of the wound was closed with a 5-0 poliglecaprone-25 simple running suture, and the other half of the wound was closed with a 6-0 polypropylene simple running suture. The investigators blindly determined the cosmetically superior side of the closure at 1 week and 4 months after suture removal. Forty-four patients (48 total defects) completed the study. At the 4-month follow-up, 85% (...Continue Reading

References

May 20, 1998·Journal of the American Academy of Dermatology·I Orengo, M W Lee
Jul 23, 1998·Journal of the American Academy of Dermatology·S W FoskoB Harrison
Aug 15, 1998·Journal of the American Academy of Dermatology·S W Fosko, D Heap

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Citations

Aug 15, 2013·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Thomas Regan, Naomi Lawrence
May 3, 2012·Critical Care Nursing Clinics of North America·Maria E Moreira, Vincent J Markovchick
Aug 28, 2014·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Cyndi Yag-Howard
Sep 30, 2015·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Christie G Regula, Cyndi Yag-Howard

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