Comparative Analysis of Incisional Wound Closure Techniques in Plastic Surgery Practice Between Single Subcutaneous/Subdermal Continuous Polyglactin Suturing Versus Layer-By-Layer Continuous Suturing with Polyglactin Subcutaneous Suturing and Polypropylene Interrupted Skin Suturing: A Comprehensive Literature Review

Abstract

Introduction: Wound closure technique has some variations in reconstructive and plastic surgery. The use of ideal suture material and technique for subcutaneous tissue closure is needed to be established in the current clinical practice to enhance the surgical outcome. Methods: This literature review was compiled using information from numerous open access web databases. Data were compiled and analyzed. Results and Discussions: In term of tensile strength, single layer subcutaneous suture with polyglactin has superior outcome than multi-layer suture combining polyglactin subcutaneous suture and polypropylene interrupted cutaneous suture. In aesthetic consideration, a single-layer subcutaneous closure has better outcome. Previous studies showed there were no significant difference between the two techniques in term of patients satisfaction. Conclusion: The single layer subcutaneous continuous suture with polyglactin and multiple layer subcutaneous suture with combining continuous polyglactin suture and polypropylene interrupted suture has each advantage and need to be considered by surgeon about the wound closure effect and long term prognostic such as cosmetic and satisfaction of the patient.