Abstract
Expect the Unexpected with Erector Spinae Plane Block in Spine Surgery - Plan for the Worst and Hope for the Best: An Anesthesiologist Perspective
Highlights
Barbed sutures have the potential advantage of decreased operative time and better wound cosmesis due to bidirectional fixation of wound
Suture extrusion rate was higher in barbed suture group
No statistically significant difference was found between cosmesis of scar and rates of infection between the two groups
Summary
Barbed sutures have the potential advantage of decreased operative time and better wound cosmesis due to bidirectional fixation of wound. Present study evaluates the complications and scar cosmesis after skin closure with barbed sutures. Barbed sutures have been in use since many decades They provide effective wound closure due to bidirectional fixation within the wound. A barbed suture prevents backward slippage of the sutures, and as a result it does not gape in areas of tension allowing for an aesthetic subcuticular closure. Some clinical studies have shown a better resultant scar. These sutures allow for a running closure of the wound, with fewer preliminary buried sutures leading to saving of one third to half of the time taken in suturing which can be their greatest benefit [1,2]. This study was done by using barbed and non-barbed suture in the same wound by dividing it into two halves removing all the confounding factors
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