Skin closure in carpal tunnel surgery: a prospective comparative study between nylon, polyglactin 910 and stainless steel sutures

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
Tomas MenovskyJ André Grotenhuis

Abstract

To compare the cosmetic outcome, pain and tenderness around the operation scar of carpal tunnel syndrome surgery using either nylon, polyglactin 910 or stainless steel sutures for skin closure. A randomised clinical trial comparing nylon, polyglactin 910 or stainless steel sutures for skin closure in 61 patients undergoing carpal tunnel syndrome surgery was performed. Pain, tenderness, scar hypertrophy, redness and the presence of granulomas were assessed in all patients at ten days and six weeks after surgery and compared by non-parametric statistical tests. Adequate surgical decompression of the median nerve could be achieved in all patients. All but two patients experienced significant relief of tingling of the fingers. Nearly all patients reported some degree of discomfort around the scar. At ten days, the mean pain score was 1.7 (+/-2.2), 3.1 (+/-2.3) and 1.9 (+/-2.3) for the nylon, vicryl and steel groups, respectively. At six weeks, the pain score was 3.6 (+/-3.1), 3.4 (+/-2.6) and 2.7 (+/-2.1) for the nylon, vicryl and steel groups, respectively. The infection rate was 0%, 8% and 0% for the nylon, vicryl and steel groups, respectively. Suture granulomas were significantly more present in the vicryl group (p<0.05). There...Continue Reading

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Citations

Dec 3, 2010·Plastic and Reconstructive Surgery·Jaimie T Shores, W P Andrew Lee
Jul 6, 2010·Archives of Physical Medicine and Rehabilitation·Bionka M HuisstedeBart W Koes
Feb 10, 2010·The Journal of Hand Surgery·Neil G HarnessLiz W Paxton
Feb 6, 2007·Clinics in Dermatology·Albert E Rivera, James M Spencer
Oct 30, 2013·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Anis DosaniIan A Whittaker
Mar 30, 2017·Hand : Official Journal of the American Association for Hand Surgery·John C DunnMark Pallis
Feb 2, 2018·The Cochrane Database of Systematic Reviews·Ryckie G WadeAndrea Figus
Feb 15, 2014·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson
Apr 10, 2020·The Cochrane Database of Systematic Reviews·Saori GotoYoshiharu Sakai
Dec 10, 2009·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Torben Baek HansenKristian Larsen
Aug 29, 2014·BioMed Research International·Robert J MacFarlaneJochen Fischer
Sep 19, 2021·Journal of Orthopaedic Surgery and Research·Sitthiphong SuwannaphisitVarah Yuenyongviwat

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