Best Skin Suture: Interrupted or Continuous

Introduction: Suturing type is important because impaired wound healing can increase the cost of the treatment. According to the controversy in the studies regarding the surgeon’s opinion, current study was conducted. Method: This review study was conducted with key words that include of sutures, interrupted, continuous, surgery, surgeons in data bases such as google scholar, web of sciences, pubmed, embase, science direct between 2015 to 2019. Inclusion criteria include of randomized clinical trials, English language study. 19 studies were included. If study not compared two methods of continuous and separate skin suture were excluded. Results: In three studies, there was no difference between the two suture methods. In Ahmad et al. study, Visual Analog Scoring was a measure of pain on the third day after surgery. 5 cases (12.5%) of continuous group and 23 cases (57.5%) of separated groups reported pain. In Maged et al. study showed that complications such as hematoma (p = 0.04), infection (p = 0.008) need for re-closure (p = 0.004), were higher in the continuous group. There was no difference in the formation of colloid between the two groups. The suture with the separate method prolonged the operation time, but it was not significant (p <0.14). Conclusion: Results did not show the difference between two sutures in term of pain and scar width, although the satisfaction of patients with continuous sutures was higher and the use of continuous sutures in clean wounds that are not tension, can have better results.

کلیدواژه ها:

Skin Closure ، Suture Technique ، Wound Closure Techniques ، Sutures