A STUDY OF SCARS WITH RELEVANCE TO DIFFERENT TYPES OF BURIED SUTURES
Journal Title: PARIPEX-Indian Journal of Research - Year 2017, Vol 6, Issue 1
Abstract
Scar in whatever part of the body may be, are always considered as stigma. Scarring after surgical procedures have long been difficult problem from functional as well as an aesthetic stand point. Many factors including the choice of suture materials and its placement influence these aims; of particular relevance is the accurate co-optation of dermal edges. A prospective study has been undertaken to assess the profile of scars after suturing of wound of the face with buried sutures of different types. 41 patients in the age group of 3 months to 70 years, who had suturing of wounds of the face either for primary wound or following excision of a lesion, congenital deformity or scar revision, accidental injury to the face were included in the study. Patients with burns and wound associated with facial fractures were excluded from the study. Among the three buried suture materials Polyglactin 910 showed better results in colour matching with surrounding skin. Polyglactin 910 and Chromic catgut suture gave better results in texture results. Polydioxanone (PDS) (11.1%) suture showed maximum number of scar with hypertrophic changes followed by (10%) scars with Chromic catgut suture. In the present study Polyglactin 910 has come out to be the better suture when scars with Polyglactin 910 as buried suture were compared with scars where either Polydioxanone or Chromic Catgut buried sutures were used. The Polyglactin 910 suture gave better match with the surrounding skin and esthetically pleasing scar.
Authors and Affiliations
Dr. Pinki P, Dr Thomas A. G. , Dr Obed V
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