Scar quality examination comparing titanium-coated suture material and non-coated suture material on flap donor sites in reconstructive surgery
Abstract Background Wound healing and scar quality after trauma are subject to impairment through excessive wound healing, chronic wound or even surgical site infections. Optimizing the process of scar formation and skin healing is crucial in virtually all fields of medicine. In this regard, we test...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-020-00932-3 |
| _version_ | 1818268674122842112 |
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| author | Laura K. Berninghausen Georg Osterhoff Stefan Langer Lukas H. Kohler |
| author_facet | Laura K. Berninghausen Georg Osterhoff Stefan Langer Lukas H. Kohler |
| author_sort | Laura K. Berninghausen |
| collection | DOAJ |
| description | Abstract Background Wound healing and scar quality after trauma are subject to impairment through excessive wound healing, chronic wound or even surgical site infections. Optimizing the process of scar formation and skin healing is crucial in virtually all fields of medicine. In this regard, we tested the possible usage and advantages of titanium coated suture material. Methods We performed a prospective observational cohort study including 30 patients who underwent soft tissue reconstruction. One half of the donor flap site was sutured with titanium coated suture material, while the other half was closed with non-coated sutures. Scar quality of the donor flap site was assessed by photographs and POSAS scores on days 2–5, 14, 42, 72 and 180 postoperatively. Results No difference between the titanium coated sutures and non-coated sutures was seen in the POSAS assessment, neither for the patient scale at 14, 42, 72 and 180 days, nor for the observer scale on the same dates. Comorbidities like diabetes, chronic renal failure and smoking as well as the BMI of each patient affected the wound healing process to an equal degree on both sides of the suture. Conclusions No difference between the titanium coated and non-titanium-coated suture material was seen in the POSAS assessment in regard to scar quality and wound healing. The titanium-coated suture material can be considered to be equally as effective and safe in all qualities as the non-titanium-coated suture material, even in patients with comorbidities. Clinical trial register This study is registered at the German Clinical Trials Register (DRKS) under the registration number DRKS00021767. ( https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021767 ) |
| first_indexed | 2024-12-12T20:42:14Z |
| format | Article |
| id | doaj.art-8aad63121e014b8e8c5eb7aef0f77476 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-12T20:42:14Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-8aad63121e014b8e8c5eb7aef0f774762022-12-22T00:12:40ZengBMCBMC Surgery1471-24822020-11-012011710.1186/s12893-020-00932-3Scar quality examination comparing titanium-coated suture material and non-coated suture material on flap donor sites in reconstructive surgeryLaura K. Berninghausen0Georg Osterhoff1Stefan Langer2Lukas H. Kohler3Department of Orthopedic, Trauma and Plastic Surgery, Leipzig University HospitalDepartment of Orthopedic, Trauma and Plastic Surgery, Leipzig University HospitalDepartment of Orthopedic, Trauma and Plastic Surgery, Leipzig University HospitalDepartment of Orthopedic, Trauma and Plastic Surgery, Leipzig University HospitalAbstract Background Wound healing and scar quality after trauma are subject to impairment through excessive wound healing, chronic wound or even surgical site infections. Optimizing the process of scar formation and skin healing is crucial in virtually all fields of medicine. In this regard, we tested the possible usage and advantages of titanium coated suture material. Methods We performed a prospective observational cohort study including 30 patients who underwent soft tissue reconstruction. One half of the donor flap site was sutured with titanium coated suture material, while the other half was closed with non-coated sutures. Scar quality of the donor flap site was assessed by photographs and POSAS scores on days 2–5, 14, 42, 72 and 180 postoperatively. Results No difference between the titanium coated sutures and non-coated sutures was seen in the POSAS assessment, neither for the patient scale at 14, 42, 72 and 180 days, nor for the observer scale on the same dates. Comorbidities like diabetes, chronic renal failure and smoking as well as the BMI of each patient affected the wound healing process to an equal degree on both sides of the suture. Conclusions No difference between the titanium coated and non-titanium-coated suture material was seen in the POSAS assessment in regard to scar quality and wound healing. The titanium-coated suture material can be considered to be equally as effective and safe in all qualities as the non-titanium-coated suture material, even in patients with comorbidities. Clinical trial register This study is registered at the German Clinical Trials Register (DRKS) under the registration number DRKS00021767. ( https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021767 )http://link.springer.com/article/10.1186/s12893-020-00932-3SutureTitanium coatedWound healingScar qualityPOSAS score |
| spellingShingle | Laura K. Berninghausen Georg Osterhoff Stefan Langer Lukas H. Kohler Scar quality examination comparing titanium-coated suture material and non-coated suture material on flap donor sites in reconstructive surgery BMC Surgery Suture Titanium coated Wound healing Scar quality POSAS score |
| title | Scar quality examination comparing titanium-coated suture material and non-coated suture material on flap donor sites in reconstructive surgery |
| title_full | Scar quality examination comparing titanium-coated suture material and non-coated suture material on flap donor sites in reconstructive surgery |
| title_fullStr | Scar quality examination comparing titanium-coated suture material and non-coated suture material on flap donor sites in reconstructive surgery |
| title_full_unstemmed | Scar quality examination comparing titanium-coated suture material and non-coated suture material on flap donor sites in reconstructive surgery |
| title_short | Scar quality examination comparing titanium-coated suture material and non-coated suture material on flap donor sites in reconstructive surgery |
| title_sort | scar quality examination comparing titanium coated suture material and non coated suture material on flap donor sites in reconstructive surgery |
| topic | Suture Titanium coated Wound healing Scar quality POSAS score |
| url | http://link.springer.com/article/10.1186/s12893-020-00932-3 |
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