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The primary objective of this prospective, randomized study is to compare cosmetic outcomes between absorbable and non-absorbable sutures in truncal and extremity lacerations in the pediatric and adult population. Secondary outcome measures include wound complications such as infection and wound dehiscence at the initial visit; and parental satisfaction and keloid formation after three months post repair.
Even though there some studies showing good outcomes using absorbable sutures in skin closure in clean surgical wounds, ED based studies still need to be conducted to convince ED physicians that the use of absorbable sutures to close the skin in traumatic lacerations are just as acceptable as traditional non-absorbable sutures. Use of absorbable sutures confers several advantages over non-absorbable sutures. For one, patients do not need an additional physician visit either in the office, or more often that not, in the emergency department. These visits add to ED overcrowding, prolonged length of ED stay and are often not reimbursed if seen in the emergency department. Moreover, adult patients need to miss work or school and children often have to miss school or daycare to have these sutures removed. The potential to avert another traumatic experience from suture removal in children who had been restrained for suture placement is another advantage of using absorbable sutures over non-absorbable sutures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non-absorbable arm | Placebo Comparator | uses non-absorbable suture such as Prolene to repair lacerations |
|
| Absorbable Suture Arm | Active Comparator | uses absorbable sutures to repair lacerations |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Absorbable Suture Arm | Procedure | use of irradiated polyglactin 910 |
|
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome is cosmetic outcomes at 3 to 4 months using the visual analogue scale. | at least 3 months post-injury |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary outcome measures: complication rates such as infection and dehiscence rates at the first visit post-injury. | 8-12 days post-injury |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Raemma p Luck, MD | Temple University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Temple University Hospital | Philadelphia | Pennsylvania | 19140 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15620501 | Result | Al-Qattan MM. Vicryl Rapide versus Vicryl suture in skin closure of the hand in children: a randomized prospective study. J Hand Surg Br. 2005 Feb;30(1):90-1. doi: 10.1016/j.jhsb.2004.08.005. | |
| 25039547 | Derived | Tejani C, Sivitz AB, Rosen MD, Nakanishi AK, Flood RG, Clott MA, Saccone PG, Luck RP. A comparison of cosmetic outcomes of lacerations on the extremities and trunk using absorbable versus nonabsorbable sutures. Acad Emerg Med. 2014 Jun;21(6):637-43. doi: 10.1111/acem.12387. |
| Label | URL |
|---|---|
| abstract of Vicryl Rapide and RCT | View source |
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| ID | Term |
|---|---|
| D022125 | Lacerations |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D013537 | Sutures |
| ID | Term |
|---|---|
| D053831 | Surgical Fixation Devices |
| D013523 | Surgical Equipment |
| D004864 | Equipment and Supplies |
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| Non-absorbable suture (Prolene) | Device | suture |
|
| suture | Procedure | non-absorable sutures and absorable sutures |
|
| use of absorbable sutures in pediatric facial lacerations | View source |
| review of wound management, sutures | View source |