МЕТОДИ ЗАКРИТТЯ ОПЕРАЦІЙНИХ РАН (ОГЛЯД ЛІТЕРАТУРИ)
DOI:
https://doi.org/10.35220/2523-420X/2023.2.12Keywords:
wound closure, surgical sutures, knot sutures, skin glue, intradermal sutureAbstract
The aim. To analyse and summarise the literature with the study of current information on various wound closure techniques. Results and discussion. Wound treatment is an integral part of a surgeon’s work. Understanding the physiology of wound healing processes, the course of wound infections that affect this process is important for proper wound management. There are many options for wound closure. Each technique has its advantages and disadvantages, and some are only suitable for certain types of wounds. The aim of wound closure is to obtain the best possible functional and cosmetically attractive scar and to minimise complications. Unfortunately, there is no simple and clear algorithm for choosing a particular wound closure technique. Each wound requires an individual assessment to determine the optimal method. Many factors determine the speed and quality of the healing process, and they must be identified during the initial assessment of the wound. There are many wound closure techniques available to surgeons. A thorough knowledge of these techniques helps the surgeon to choose the best option for wound closure in order to obtain the most cosmetic scar possible. This article will review the main types of sutures and other methods of wound closure, outline the suturing technique and the appropriateness of their use depending on the condition of the wound. Conclusions. The choice of wound closure technique depends on many factors, including wound margin tension, anatomical site, mechanism of wounding, nature of wound infection, and desired haemostatic effect. The surgeon must take all these factors into account when choosing a wound closure technique. There is no single «right» choice for wound closure. A careful consideration of all factors in each case will allow to obtain the optimal result, which will lead to the formation of a normotrophic scar.
References
Caldwell, M.D. (2010). Wound Surgery. Surgical Clinics of North America. No. 90(6). P. 1125–1132. doi:10.1016/j.suc.2010.09.001
Arlein, W.J., Shearer, J.D. & Caldwell, M.D. (1998). Continuity between wound macrophage and fibroblast phenotype: analysis of wound fibroblast phagocytosis. Am J Physiol. No. 275. P. 1041–1048. doi: 10.1152/ajpregu.1998.275.4.R1041
Majno, G. (1975). The healing hand. Man and wound in the ancient world. Cambridge (MA) : Harvard University Press. No. 20(4). P. 37.
Santoni-Rugiu, P. & Sykes, P.J. (2007). A history of plastic surgery : Textbook. Heidelberg, New York, Berlin : Springer. P. 47. URL: https://wellcomecollection.org/works/uq7pyybz
Moreira, M.E. & Markovchick, V.J. (2007). Wound Management. Emergency Medicine Clinics of North America. No. 25(3). P. 873–899. doi:10.1016/j.emc.2007.06.008
Wu, T. (2006). Plastic surgery made easy – simple techniques for closing skin defects and improving cosmetic results. Aust Fam Physician. No. 35(7). P. 492–496.
Hollander, J.E. & Singer, A.J. (1999). Laceration management. Ann Emerg Med. No. 34(3). P. 356–367. doi: 10.1016/s0196-0644(99)70131-9
Cruse, P.J.E. & Foord, R.A. (1973). Five-year prospective study of 23,649 surgical wounds. Arch Surg. No. 107. P. 206–209. doi: 10.1001/archsurg.1973.01350200078018
Regula, C.G. & Yag-Howard, C. (2015). Suture Products and Techniques. Dermatologic Surgery. No. 41. P. 187–200. doi: 10.1097/dss.0000000000000492
Zhang, W., Xie, J. & Zeng, A. (2022). The Origin and Development of Interrupted Subcuticular Suture: An Important Technique for Achieving Optimum Wound Closure. Dermatol Surg. No. 48(6). P. 619–624. doi: 10.1097/DSS.0000000000003437
Azmat, C.E. & Council, M. (2023). Wound Closure Techniques. StatPearls. Treasure Island (FL) : StatPearls Publishing. URL: https://www.ncbi.nlm.nih.gov/books/NBK470598/
Regula, C.G. & Yag-Howard, C. (2015). Suture Products and Techniques: What to Use, Where, and Why. Dermatol Surg. No. 41(10). P. 187–200. doi: 10.1097/DSS.0000000000000492
Chen, Z.S., Zhu, S.L., Qi, L.N. & Li, L.Q. (2018). A combination of subcuticular suture and enhanced recovery after surgery reduces wound complications in patients undergoing hepatectomy for hepatocellular carcinoma. Sci Rep. No. 8. P. 12942. doi: 10.1038/s41598-018-31287-8
Berghella, V., Baxter, J.K. & Mackeen, A.D. (2019). Suture is still the gold standard for closure of the skin incision at caesarean delivery. BJOG. No. 126. P. 511. doi: 10.1111/1471-0528.15552
Lima, R.J., Schnaider, T.B., Francisco, A.M.C. & Francescato, V.D. (2018). Absorbable suture. Best aesthetic outcome in cesarian scar1. Acta Cir Bras. No. 33. P. 1027–1036. doi: 10.1590/s0102-865020180110000009
Ku, D., Koo, D.H. & Bae, D.S. (2020). A prospective randomized control study comparing the effects of dermal staples and intradermal sutures on postoperative scarring after thyroidectomy. J Surg Res. No. 256. P. 413–421. doi: 10.1016/j.jss.2020.06.052
Meng, F., Andrea, S., Cheng, S., Wang, Q. & Huo, R. (2017). Modified Subcutaneous Buried Horizontal Mattress Suture Compared With Vertical Buried Mattress Suture. Ann Plast Surg. No. 79(2). P. 197–202. doi: 10.1097/SAP.0000000000001043
Moy, R.L., Waldman, B. & Hein, D.W. (1992). A Review of Sutures and Suturing Techniques. The Journal of Dermatologic Surgery and Oncology. No. 18(9). P. 785–795. doi:10.1111/j.1524-4725.1992.tb03036.x
Dresing, K. & Slongo, T. (2023). Chirurgisches Nahtmaterial – Grundlagen [Surgical suture materialfundamentals]. Oper Orthop Traumatol. No. 35(5). P. 298–316. doi: 10.1007/s00064-023-00812-y
Luo, W., Tao, Y., Wang, Y., Ouyang, Z., Huang, J. & Long, X. (2023). Comparing running vs interrupted sutures for skin closure: A systematic review and metaanalysis. Int Wound J. No. 20(1). P. 210–220. doi: 10.1111/iwj.13863
Lekic, N. & Dodds, S. D. (2022). Suture Materials, Needles, and Methods of Skin Closure: What Every Hand Surgeon Should Know. J Hand Surg Am. No. 47(2). P. 160–171. doi: 10.1016/j.jhsa.2021.09.019
Maloney, J., Rogers, G.S. & Kapadia, M. (2013). Surgical corner: a prospective randomized evaluation of cyanoacrylate glue devices in the closure of surgical wounds. J Drugs Dermatol. No. 12. P. 810–814.
Sniezek, P.J., Walling, H.W. & DeBloom III, J.R. (2007). A randomized controlled trial of high-viscosity 2-octyl cyanoacrylate tissue adhesive versus sutures in repairing facial wounds following Mohs micrographic surgery. Dermatol Surg. No. 33. P. 966–971. doi: 10.1111/j.1524-4725.2007.33199.x
Tierney, E.P., Moy, R.L. & Kouba, D.J. (2009). Rapid absorbing gut suture versus 2-octylethylcyanoacrylate tissue adhesive in the epidermal closure of linear repairs. J Drugs Dermatol. No. 8. P. 115–119.
Vanholder, R., Misotten, A., Roels, H. & Matton, G. (1993). Cyanoacrylate tissue adhesive for closing skin wounds: a double blind randomized comparison with sutures. Biomaterials. No. 14. P. 737–742. doi: 10.1016/0142-9612(93)90037-3
Batra, J., Bekal, R., Byadgi, S., Attresh, G., Sambyal, S. & Vakade, C.D. (2016). Comparison of skin staples and standard sutures for closing incisions after head and neck cancer surgery: a double-blind, randomized and prospective study. J Maxillofac Oral Surg. No. 15. P. 243–250. doi: 10.1007/s12663-015-0809-y
Maloney, J., Rogers, G.S. & Kapadia, M. (2013). Surgical corner: a prospective randomized evaluation of cyanoacrylate glue devices in the closure of surgical wounds. J Drugs Dermatol. No. 12. P. 810–814.
