Document Detail

Absorbable or non-absorbable sutures? A prospective, randomised evaluation of aesthetic outcomes in patients undergoing elective day-case hand and wrist surgery.
MedLine Citation:
PMID:  20659358     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: We prospectively evaluated aesthetic outcomes in a group of randomised patients who underwent elective day-case hand and wrist surgery using either absorbable or non-absorbable sutures.
PATIENTS AND METHODS: A cohort of 100 adult patients were randomised using sealed envelopes to receive either absorbable or non-absorbable sutures for their wound closure. Clinical review was carried out at 6 weeks. A postal questionnaire was sent to all patients 3 months following surgery comprising a visual analogue scale (VAS) for wound satisfaction, a validated 6-point patient scar assessment tool and the shortened version of the disabilities of the arm, shoulder and hand questionnaire (QuickDASH).
RESULTS: From the postal questionnaire, 70 responses were received. There was no statistically significant difference between the two groups in terms of VAS, patient scar assessment tool and quick DASH.
CONCLUSIONS: For elective day-case hand and wrist surgery, either suture material can be used confidently with respect to overall aesthetic appearance in such patients.
R K Kundra; S Newman; A Saithna; A C Lewis; S Srinivasan; K Srinivasan
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2010-07-19
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  92     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-04     Completed Date:  2010-12-03     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  665-7     Citation Subset:  IM    
Department of Orthopaedic Surgery, Heart of England NHS Foundation Trust, Birmingham B9 5SS, UK.
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MeSH Terms
Absorbable Implants*
Aged, 80 and over
Ambulatory Surgical Procedures
Cicatrix / pathology
Hand / surgery*
Middle Aged
Patient Satisfaction
Postoperative Complications
Prospective Studies
Treatment Outcome
Wrist / surgery*
Young Adult
Comment In:
Ann R Coll Surg Engl. 2011 Mar;93(2):183   [PMID:  22041162 ]

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