Eur J Plast Surg (1999) 22:406 © Springer-Verlag 1999 LETTER T O THE EDIT OR H. Breuninger Slowly and rapidly absorbable sutures and their influence on scar width Sir, In an article entitled “Intracutaneous butterfly suture I would like to present the following letter to be pub- – a horizontal buried interrupted suture for high tension” lished for discussion in the Eur J Plast Surg: (Eur J Plast Surg 21:415–419, 1998),I published data on In their study, C. M. Breed et al. compared the inci- a prospective trial of 1325 patients which showed a sta- dence of slowly and rapidly absorbable sutures on scar tistically significant difference (P value 0.001, Table 2) width (Eur J Plast Surg 22:251–254, 1999), these being in the number of scar dehiscences between Polyclactin suture materials which lose tensile strength very rapidly, 910 (Vicryl) 10.8%, Polyclecaprone 25 (Monocryl) within 2–3 weeks. In contrast to histological findings, 12.3%, and Polydioxanon (PDS II) 4.%. scars under tension need clinically longer than 3 weeks If there is significant tension on wound edges, PDS II to reach their final strength. In our experience, the period had significantly better results in terms of scar width. required is nearly 6 weeks. The authors commented that H. Breuninger it would be very interesting to use a model to compare Department of Dermatologic Surgery, University of Tübingen, these sutures with those which lose their tensile strength Liebermeisterstrasse 25, D-72076 Tübingen, Germany after a much longer time (for example Maxon or e-mail: firstname.lastname@example.org PDS II). Tel.: +49-7071-2984-590, Fax: +49-7071-294-588
European Journal of Plastic Surgery – Springer Journals
Published: Nov 18, 1999
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