Skin closure Material

An ideal suture material is flexible, strong, easily tied and securely knotted.it stimulates, skin closure material characteristics mentioned below

  • Less tissue reaction
  • Reduces the risk of infection.

Mainly for skin closure, the cosmetic property is preferable to the surgeons for better wound healing and less scar formation.

Steristrips

Sterile adhesive tape Steristrip placed across the incision will also prevent surface marks. Its used either primarily or after surface suture have been removed partially. Taping will not correct errors in suturing that have resulted in uneven edges or tension across the incision. Tape burns may occur if there any excessive tension or swelliskin closureng around the incision.

Nylon

The use of monofilament nylon or polypropylene suture material, because these types of sutures cause fewest reactions. Currently, subcuticular, pullout type monofilament sutures left in for up to 3 weeks without causing any reaction.
Even buried nylon sutures might well tolerate and generally cause fewer problems than braided or absorbable sutures.

Dermabond in skin closure

An alternative to sutures advances to skin adhesives such as 2-octyl cyanoacrylate (dermabond). It works well in small areas without much tension or shearing. It’s advisable in children and patient with cosmetic concern.

HIgh viscosity adhesive glue used in topical skin made of 2-octyl cyanoacrylate.

Protection for surgical incision

It acts as a barrier to microbial penetration and infection.

The Organism studied and helps in

Enterococcus faecium

Escherichia coli

Pseudomonas aeruginosa

Staphylococcus aureus

Staphylococcus epidermidis

Patients comfort

No need for suture or staple removal

No needs for dressings

Elimination of potential complication of burns and blisters from adhesive tapes

Faster time to close compared with standard wound closure methods

Laparoscopic port closure and incision greater than 4 cm

Types of Surgery 

Herniorrhaphy closure

Thyroid incision closure

Breast reduction closure

Abdominoplasty

Bariatric surgery

Breast Augmentation surgery

Skin grafting

Cleft lip Palate

Care of wound after closure

No need for dressing or bandages

Do not disrupt the adhesion film

Don’t try to peel off the Dermabond film, after 5-10 days the film will peel off automatically.

Dermabond application area can wet for a short time but should not be soaked in water

Silk

Silk is an animal protein and relatively inert in human tissue. Commonly used because of its track record and favorable handling characteristics.
It loses strength over long periods and is unsuitable for suturing arteries to plastic grafts or for insertion of prosthetic cardiac valves.

silk suture a multifilament, providing the mechanical immune barrier for bacteria. occasionally silk suture forms a focus for small abscesses that migrate and spit in the skin. Small sinuses that will not heal until the suture removed.

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