■可吸收和不可吸收缝合线均用于矫正手掌切口或撕裂。使用不可吸收的缝合线没有并发症,但需要在随访时移除。或者,可吸收缝线的使用日益普及,因为术后不需要移除缝线,但与局部免疫和炎症反应相关.在这项研究中,我们比较了A1滑轮松解术中不可吸收和可吸收缝线的瘢痕质量和结果.
■接受A1滑轮松解术的患者被随机分配到2种缝合材料中的1种。患者疤痕评估量表,观察者疤痕评估量表,视觉模拟量表,和手臂的残疾,肩膀,术后2、6和12周收集Hand评分。在纳入研究的41名患者中,23人被随机分配到不可吸收缝线组,和18到可吸收缝合线组。
■在上述评估中,两个缝合组之间没有显着差异。不可吸收缝线组并发症发生率较高,但差异无统计学意义。值得注意的是,可吸收缝线组有1例术后出血失控,需再次手术。
■我们发现两种材料在患者或观察者疤痕评估量表方面没有显着差异,总并发症发生率,症状评分,或疼痛评分。因此,使用可吸收或不可吸收的选择可以由其他因素指导,如医生或患者的偏好,可用性,和成本。
UNASSIGNED: Both absorbable and nonabsorbable sutures are used to correct palmar incisions or lacerations. Nonabsorbable sutures have been used without complications but require removal at a follow-up appointment. Alternatively, the use of absorbable sutures has increased in popularity as postoperative suture removal is not required but is associated with local immunological and inflammatory responses. In this study, we compared the scar quality and outcomes of nonabsorbable and absorbable sutures in A1 pulley release.
UNASSIGNED: Patients who underwent A1 pulley release were randomized to 1 of 2 suture materials. The Patient Scar Assessment Scale, Observer Scar Assessment Scale, Visual Analogue Scale, and Disabilities of the Arm, Shoulder, and Hand scores were collected at 2, 6, and 12 weeks postoperatively. Among the 41 patients included in the study, 23 were randomized to the nonabsorbable suture group, and 18 to the absorbable suture group.
UNASSIGNED: There were no significant differences between the two suture groups in the aforementioned assessments. Complication rates were higher in the nonabsorbable suture group, but the difference was not statistically significant. Notably, 1 case in the absorbable suture group had uncontrolled postoperative bleeding and required reoperation.
UNASSIGNED: We found no significant difference between the two materials in terms of the Patient or Observer Scar Assessment Scales, overall complication rates, symptom scores, or pain scores. Therefore, the choice using absorbable or nonabsorbable can be guided by other factors such as physician or patient preference, availability, and cost.