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Prospective, Observational Study to Assess a New Quick Absorbable Monofilament Suture for Skin Closure in Adults

Received: 28 January 2021     Accepted: 23 February 2021     Published: 26 March 2021
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Abstract

This is the first prospective, single centre study assessing the clinical outcome of a new quick, absorbable, monofilament suture for skin closure in adults after general surgical interventions. In total 50 patients were included in the study to apply Monosyn Quick suture to skin closure. Suture handling was evaluated by the surgeons using a 5-point Likert scale. The Visual-Analogue-Scale (VAS) was used to rate wound healing, pain and satisfaction. Adverse events were reported up to the day of discharge. The new suture material was judged good to excellent regarding its handling properties. Patients stayed in hospital for an average of 5.46 days. Wound healing assessment by the physician was excellent [mean (range) 94.94 (50.00 – 100.00)]. Low pain level was reported by the patients (mean (SD) 23.21±18.96; [range 0.00 – 95.00]) and persisted in mean for 2.56 days [range 0.00 - 7.00 days]. High satisfaction with the skin closure was reported by patients at discharge (mean (SD) 94.25±7.89 [range 70.00 – 100.00]). No wound healing-related adverse events were observed. Our results showed, that the new quick, absorbable, monofilament suture is appropriate for dermal wound approximation in general surgery and represents a good alternative option to other suture materials which are in common use to close the skin.

Published in Journal of Surgery (Volume 9, Issue 2)
DOI 10.11648/j.js.20210902.14
Page(s) 63-68
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Skin closure, Fast-absorbable monofilament, General surgery

References
[1] Gfroerer S, Baumann P, Schwalbach AK, Smirnoff A. Prospective international multicenter observational study of Novosyn® Quick for skin closures in adults and children (SKINNOQ). BMC Surg. 2019; 19 (1): 47.
[2] Matsumine H, Takeuchi M. Usefulness of Irradiated Polyglactin 910 (Vicryl Rapide) for Skin Suturing during Surgery for Lateral Ray Polydactyly of the Toes in Children. Plast Reconstr Surg Glob Open 2013; 1 (6): e42.
[3] Odijk R, Hennipman B, Rousian M, Madani K, Dijksterhuis M, Leeuw JW de et al. The MOVE-trial: Monocryl® vs. Vicryl Rapide™ for skin repair in mediolateral episiotomies: a randomized controlled trial. BMC Pregnancy Childbirth 2017; 17 (1): 355.
[4] Bezwada RS, Jamiolkowski DD, Lee I-Y, Agarwal V, Persivale J, Trenka-Benthin S et al. Monocryl® suture, a new ultra-pliable absorbable monofilament suture. Biomaterials 1995; 16 (15): 1141–8.
[5] Yag-Howard C. Absorbable poliglecaprone 25 sutures for both subcutaneous and transepidermal closure: a cosmetically and economically appealing option. Cutis 2013.
[6] Joyce CR, Zutshi DW, Hrubes V, Mason RM. Comparison of fixed interval and visual analogue scales for rating chronic pain. Eur J Clin Pharmacol 1975; 8 (6): 415–20.
[7] Huskisson EC, Sturrock RD, Tugwell P. Measurement of patient outcome. Br J Rheumatol 1983; 22 (3 Suppl): 86–9.
[8] Sriwatanakul K, Kelvie W, Lasagna L, Calimlim JF, Weis OF, Mehta G. Studies with different types of visual analog scales for measurement of pain. Clin Pharmacol Ther 1983; 34 (2): 234–9.
[9] Price DD, Dubner R. Mechanisms of first and second pain in the peripheral and central nervous systems. J Invest Dermatol 1977; 69 (1): 167–71.
[10] Rosier EM, Iadarola MJ, Coghill RC. Reproducibility of pain measurement and pain perception. Pain 2002; 98 (1): 205–16.
[11] Tejani C, Sivitz AB, Rosen MD, Nakanishi AK, Flood RG, Clott MA et al. A comparison of cosmetic outcomes of lacerations on the extremities and trunk using absorbable versus nonabsorbable sutures. Acad Emerg Med 2014; 21 (6): 637–43.
[12] Theopold C, Potter S, Dempsey M, O'Shaughnessy M. A randomised controlled trial of absorbable versus non-absorbable sutures for skin closure after open carpal tunnel release. J Hand Surg Eur Vol 2012; 37 (4): 350–3.
[13] Ekerot L. Correction of syndactyly: advantages with a non-grafting technique and the use of absorbable skin sutures. Scand J Plast Reconstr Surg Hand Surg 1999; 33 (4): 427–31.
[14] Parell GJ, Becker GD. Comparison of absorbable with nonabsorbable sutures in closure of facial skin wounds. Arch Facial Plast Surg 2003; 5 (6): 488–90.
[15] Howard K, Simison AJM, Morris A, Bhalaik V. A prospective randomised trial of absorbable versus non-absorbable sutures for wound closure after fasciectomy for Dupuytren's contracture. J Hand Surg Eur Vol 2009; 34 (5): 618–20.
[16] Duprez K, Bilweis J, Duprez A, Merle M. Etude expérimentale et clinique d'un matériel de suture cutanée à résorption rapide. Annales de Chirurgie de la Main 1988; 7 (1): 91–6.
[17] Tuuli MG, Stout MJ, Martin S, Rampersad RM, Cahill AG, Macones GA. Comparison of suture materials for subcuticular skin closure at cesarean delivery. Am J Obstet Gynecol 2016; 215 (4): 490. e1-5.
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Cite This Article
  • APA Style

    Petra Baumann, Frank Gumpinger. (2021). Prospective, Observational Study to Assess a New Quick Absorbable Monofilament Suture for Skin Closure in Adults. Journal of Surgery, 9(2), 63-68. https://doi.org/10.11648/j.js.20210902.14

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    ACS Style

    Petra Baumann; Frank Gumpinger. Prospective, Observational Study to Assess a New Quick Absorbable Monofilament Suture for Skin Closure in Adults. J. Surg. 2021, 9(2), 63-68. doi: 10.11648/j.js.20210902.14

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    AMA Style

    Petra Baumann, Frank Gumpinger. Prospective, Observational Study to Assess a New Quick Absorbable Monofilament Suture for Skin Closure in Adults. J Surg. 2021;9(2):63-68. doi: 10.11648/j.js.20210902.14

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  • @article{10.11648/j.js.20210902.14,
      author = {Petra Baumann and Frank Gumpinger},
      title = {Prospective, Observational Study to Assess a New Quick Absorbable Monofilament Suture for Skin Closure in Adults},
      journal = {Journal of Surgery},
      volume = {9},
      number = {2},
      pages = {63-68},
      doi = {10.11648/j.js.20210902.14},
      url = {https://doi.org/10.11648/j.js.20210902.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210902.14},
      abstract = {This is the first prospective, single centre study assessing the clinical outcome of a new quick, absorbable, monofilament suture for skin closure in adults after general surgical interventions. In total 50 patients were included in the study to apply Monosyn Quick suture to skin closure. Suture handling was evaluated by the surgeons using a 5-point Likert scale. The Visual-Analogue-Scale (VAS) was used to rate wound healing, pain and satisfaction. Adverse events were reported up to the day of discharge. The new suture material was judged good to excellent regarding its handling properties. Patients stayed in hospital for an average of 5.46 days. Wound healing assessment by the physician was excellent [mean (range) 94.94 (50.00 – 100.00)]. Low pain level was reported by the patients (mean (SD) 23.21±18.96; [range 0.00 – 95.00]) and persisted in mean for 2.56 days [range 0.00 - 7.00 days]. High satisfaction with the skin closure was reported by patients at discharge (mean (SD) 94.25±7.89 [range 70.00 – 100.00]). No wound healing-related adverse events were observed. Our results showed, that the new quick, absorbable, monofilament suture is appropriate for dermal wound approximation in general surgery and represents a good alternative option to other suture materials which are in common use to close the skin.},
     year = {2021}
    }
    

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    T1  - Prospective, Observational Study to Assess a New Quick Absorbable Monofilament Suture for Skin Closure in Adults
    AU  - Petra Baumann
    AU  - Frank Gumpinger
    Y1  - 2021/03/26
    PY  - 2021
    N1  - https://doi.org/10.11648/j.js.20210902.14
    DO  - 10.11648/j.js.20210902.14
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 63
    EP  - 68
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20210902.14
    AB  - This is the first prospective, single centre study assessing the clinical outcome of a new quick, absorbable, monofilament suture for skin closure in adults after general surgical interventions. In total 50 patients were included in the study to apply Monosyn Quick suture to skin closure. Suture handling was evaluated by the surgeons using a 5-point Likert scale. The Visual-Analogue-Scale (VAS) was used to rate wound healing, pain and satisfaction. Adverse events were reported up to the day of discharge. The new suture material was judged good to excellent regarding its handling properties. Patients stayed in hospital for an average of 5.46 days. Wound healing assessment by the physician was excellent [mean (range) 94.94 (50.00 – 100.00)]. Low pain level was reported by the patients (mean (SD) 23.21±18.96; [range 0.00 – 95.00]) and persisted in mean for 2.56 days [range 0.00 - 7.00 days]. High satisfaction with the skin closure was reported by patients at discharge (mean (SD) 94.25±7.89 [range 70.00 – 100.00]). No wound healing-related adverse events were observed. Our results showed, that the new quick, absorbable, monofilament suture is appropriate for dermal wound approximation in general surgery and represents a good alternative option to other suture materials which are in common use to close the skin.
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Department Medical Scientific Affairs, Aesculap, Tuttlingen, Germany

  • Department of General Surgery, Benedictus Clinic Tutzing, Tutzing, Germany

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