Abstract
Background: Absorbable suture material (Fast Absorbing Gut [FG], Ethicon, Somerville NJ)is often used for patient convenience; however, the optimal diameter of FG sutures is debatable. Objective: To determine whether the use of 6-0 FG during repair of linear cutaneous surgery wounds on the head and neck improves scar cosmesis compared with the use of 5-0 FG. Methods: This was a prospective, randomized, split-scar intervention in patients undergoing repair of linear cutaneous wounds on the head and neck. The scar was assessed 3 months after surgery via the Physician Observer Scar Assessment Scale (POSAS), a validated instrument. Results: The difference in the sum of the POSAS component scores for 6-0 FG (12.03)compared with that for 5-0 FG (13.11)was not statistically significant (P =.26). Observer overall opinion was similar for both interventions, at 2.49 for 6-0 FG vs 2.64 for 5-0 FG (P =.54). The difference in the number of complications in the 5-0 FG group (15)vs the 6-0 FG group (10)was not statistically significant (P =.40). Limitations: Single-center study with wounds limited to the head and neck in white individuals, with a predominance of men. Conclusion: For linear repair of cutaneous wounds, 6-0 FG was not statistically different for cosmetic outcomes, scar width, and complications compared with 5-0 FG.
| Original language | English (US) |
|---|---|
| Journal | Journal of the American Academy of Dermatology |
| DOIs | |
| State | Published - Jan 1 2019 |
Fingerprint
Keywords
- 5-0
- 6-0
- cutaneous closure technique
- cutaneous surgery
- Fast Absorbing Gut
- scar evaluation
- suture caliber
- suture diameter
- suture size
ASJC Scopus subject areas
- Dermatology
Cite this
Use of 5-0 Fast Absorbing Gut versus 6-0 Fast Absorbing Gut during cutaneous wound closure on the head and neck : A randomized evaluator-blinded split-wound comparative effectiveness trial. / Pourang, Aunna; Crispin, Milene K.; Clark, Ashley K.; Armstrong, April W.; Sivamani, Raja K; Eisen, Daniel B.
In: Journal of the American Academy of Dermatology, 01.01.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Use of 5-0 Fast Absorbing Gut versus 6-0 Fast Absorbing Gut during cutaneous wound closure on the head and neck
T2 - A randomized evaluator-blinded split-wound comparative effectiveness trial
AU - Pourang, Aunna
AU - Crispin, Milene K.
AU - Clark, Ashley K.
AU - Armstrong, April W.
AU - Sivamani, Raja K
AU - Eisen, Daniel B
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Background: Absorbable suture material (Fast Absorbing Gut [FG], Ethicon, Somerville NJ)is often used for patient convenience; however, the optimal diameter of FG sutures is debatable. Objective: To determine whether the use of 6-0 FG during repair of linear cutaneous surgery wounds on the head and neck improves scar cosmesis compared with the use of 5-0 FG. Methods: This was a prospective, randomized, split-scar intervention in patients undergoing repair of linear cutaneous wounds on the head and neck. The scar was assessed 3 months after surgery via the Physician Observer Scar Assessment Scale (POSAS), a validated instrument. Results: The difference in the sum of the POSAS component scores for 6-0 FG (12.03)compared with that for 5-0 FG (13.11)was not statistically significant (P =.26). Observer overall opinion was similar for both interventions, at 2.49 for 6-0 FG vs 2.64 for 5-0 FG (P =.54). The difference in the number of complications in the 5-0 FG group (15)vs the 6-0 FG group (10)was not statistically significant (P =.40). Limitations: Single-center study with wounds limited to the head and neck in white individuals, with a predominance of men. Conclusion: For linear repair of cutaneous wounds, 6-0 FG was not statistically different for cosmetic outcomes, scar width, and complications compared with 5-0 FG.
AB - Background: Absorbable suture material (Fast Absorbing Gut [FG], Ethicon, Somerville NJ)is often used for patient convenience; however, the optimal diameter of FG sutures is debatable. Objective: To determine whether the use of 6-0 FG during repair of linear cutaneous surgery wounds on the head and neck improves scar cosmesis compared with the use of 5-0 FG. Methods: This was a prospective, randomized, split-scar intervention in patients undergoing repair of linear cutaneous wounds on the head and neck. The scar was assessed 3 months after surgery via the Physician Observer Scar Assessment Scale (POSAS), a validated instrument. Results: The difference in the sum of the POSAS component scores for 6-0 FG (12.03)compared with that for 5-0 FG (13.11)was not statistically significant (P =.26). Observer overall opinion was similar for both interventions, at 2.49 for 6-0 FG vs 2.64 for 5-0 FG (P =.54). The difference in the number of complications in the 5-0 FG group (15)vs the 6-0 FG group (10)was not statistically significant (P =.40). Limitations: Single-center study with wounds limited to the head and neck in white individuals, with a predominance of men. Conclusion: For linear repair of cutaneous wounds, 6-0 FG was not statistically different for cosmetic outcomes, scar width, and complications compared with 5-0 FG.
KW - 5-0
KW - 6-0
KW - cutaneous closure technique
KW - cutaneous surgery
KW - Fast Absorbing Gut
KW - scar evaluation
KW - suture caliber
KW - suture diameter
KW - suture size
UR - http://www.scopus.com/inward/record.url?scp=85065794553&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85065794553&partnerID=8YFLogxK
U2 - 10.1016/j.jaad.2019.02.037
DO - 10.1016/j.jaad.2019.02.037
M3 - Article
C2 - 30797848
AN - SCOPUS:85065794553
JO - Journal of the American Academy of Dermatology
JF - Journal of the American Academy of Dermatology
SN - 0190-9622
ER -