Professional paper
Influence of polyglactin 910 on postoperative scar
Dubravka Bušić
Domagoj Lemac
Željko Bušić
Franjo Rudman
Vlatka Bušić
Mislav Čavka
Abstract
Aim of the paper was to evaluate the difference in scar formation when using catgut or Polyglactin 910 subcuticular sutures in experimental and clinical model. Experimental and clinical part of the study were performed in 1998. Hypothesis was that longer subcuticular support by Polyglactin 910 (2-3 weeks) would lead to better and cosmetically more acceptable scar in relation to plain catgut (1 week). Incision was made in gluteal region of six sheep, after three months scar was excised along with the surrounding tissue and evaluated both clinically and histologically. The Study included 35 patients with Lichtenstein hemioplasty. In the lateral part of each wound the subcutis was sutured with plain catgut, and the medial half with Polyglactin 910 sutures. The scars were evaluated for coloration, painfulness, scar width, scar depression or elevation 3 months, 6 months, 12 months and 5 years after operation. In experimental model no difference was found in scar appearance in relation to different suture materials. By histological examination, granuloma formation was found in scars where the plain catgut was used for subcuticular suture. In clinical model there weren't any differences found between the study parameters either 12 months or 5 years after operation.
Keywords
Polyglactin 910; postoperative scar
Hrčak ID:
190680
URI
Publication date:
1.12.2002.
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