Practice of wound closure techniques among emergency physicians and surgeons in Makkah City Hospitals in Saudi Arabia
Background: Wound suturing is a procedure performed by medical and surgical specialists. While there are many different suturing techniques and materials used to treat patients, the choice of which to employ depends on different variables that affect the outcome of the procedure.
Design and Methods: This is a cross-sectional study conducted to provide descriptive data regarding the practice of wound closure techniques, and to develop an awareness of scar formation factors. A total of 172 general surgery (GS) surgeons and emergency (EM) physicians in Makkah city hospitals in Saudi Arabia participated in the study.
Results: More than 50% of the practitioners favored the simple interrupted technique for the treatment of all types of studied wounds. The other most common techniques among participants were the subcuticular and vertical mattress methods, respectively, while the use of a stapler was limited to certain wound types. Regarding suturing material, polyglycolic acid was the most frequent material used by 50.1% of participants, whereas only 22% of the participants selected nylon material for wound suturing. However, this study showed a good level of awareness among participants, with significant p-values (p<0.05) of strongly agree and agree regarding the essential factors affecting wound healing and scar formation.
Conclusions: The result provides insight into the most common suture techniques and materials used in wound closure. There are wide variations in selecting these techniques and materials among the participants. Also, we found that there is good awareness among participants about factors that lead to scar formation.
Mackay-Wiggan J. Suturing Techniques Technique: General Principles, Placement of Specific Suture Types, Alternative Methods of Wound Closure. Emedicine.medscape.com [cited 2019]. Available from: https://emedicine.medscape.com/article/1824895-technique
Hogg K. Towards evidence-based emergency medicine: Best BETs from the Manchester Royal Infirmary. Emerg Med J 2002;33:741.
Kuduro MH, Pai SB, Sripathi H, Prabhu S. Sutures, and suturing techniques in skin closure. Indian J Dermatol Venereol Leprol 2009;75:425-34. DOI: https://doi.org/10.4103/0378-6323.53155
Al-Shaqsi S, Al-Bulushi T. Cutaneous scar prevention and management: Overview of current therapies. Sultan Qaboos Univ Med J 2016;16:e3-8. DOI: https://doi.org/10.18295/squmj.2016.16.01.002
Kavalci C, Cevik Y, Durukan P, Sayhan MBk. Comparison of different suture techniques. J Clin Analyt Med 2015;6:15-7. DOI: https://doi.org/10.4328/JCAM.1690
Kanegaye J, Vance C, Chan L, Schonfeld N. Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations: A randomized study of cost and time benefits. J Pediatrics 1997;130:808-13. DOI: https://doi.org/10.1016/S0022-3476(97)80025-X
Liu X, Nelemans PJ, Frenk LDS, et al. Aesthetic outcome and complications of simple interrupted versus running subcuticular sutures in facial surgery: A randomized controlled trial. J Am Acad Dermatol 2017;77:911-9. DOI: https://doi.org/10.1016/j.jaad.2017.04.1128
Moody BR, McCarthy JE, Linder J, Hruza GJ. The enhanced cosmetic outcome with running horizontal mattress sutures. Dermatol Surg 2005;31:1313-6. DOI: https://doi.org/10.1097/00042728-200510000-00009
Javadi SMR, Kasraianfard A, Ghaderzadeh P, et al. Comparison of subcuticular and interrupted suturing methods for skin closure after appendectomy: A randomized controlled trial. Iran Red Crescent Med J 2018;20:e14469. DOI: https://doi.org/10.5812/ircmj.14469
Ibrahim M, Moustafa G, Al-Hamid A, Hussein M. Superficial incisional surgical site infection rate after cesarean section in obese women: a randomized controlled trial of subcuticular versus interrupted skin suturing. Arch Gynecol Obstet 2013;289:981-6. DOI: https://doi.org/10.1007/s00404-013-3098-z
- Abstract views: 80
- PDF: 33
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.