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

Aunna Pourang, Milene K. Crispin, Ashley K. Clark, April W Armstrong, Raja K. Sivamani, Daniel B. Eisen

Research output: Contribution to journalArticle

1 Scopus citations

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 languageEnglish (US)
JournalJournal of the American Academy of Dermatology
DOIs
StatePublished - Jan 1 2019

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

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