Yag-Howard Cyndi, Lavallee Laura
Advanced Dermatology and Skin Surgery Specialists, PA, 1000 Goodlette Rd, Ste 100, Naples, FL 34102, USA.
Cutis. 2013 Jul;Suppl:19-23.
The majority of dermatologic surgeons close surgical defects using absorbable sutures to approximate deep subcutaneous tissue and nonabsorbable sutures to close the epidermal tissue. However, the absorbable monofilament poliglecaprone 25 can serve as the sole suture material in closing deep surgical defects involving subcutaneous and epidermal tissue with the benefits of providing aesthetically pleasing outcomes, possibly due to the material's low tissue reactivity and clear colorless appearance, and cost-effectiveness. We discuss the estimated cost savings per procedure when using poliglecaprone 25. Additional advantages include increased versatility, ease of handling, and convenience. Some disadvantages include a slight stiffness of the suture material, which may require a surgeon to make minor adjustments to his/her knot tying technique, as well as a transparent appearance that may make suture removal more challenging when using the undyed version of the suture material. However, the many benefits of using poliglecaprone 25 for closure of surgical defects outweigh the few disadvantages.
大多数皮肤科外科医生使用可吸收缝线来缝合深部皮下组织，用不可吸收缝线来缝合表皮组织，以闭合手术创口。然而，可吸收单丝聚乙醇酸25可作为闭合涉及皮下和表皮组织的深部手术创口的唯一缝合材料，它具有产生美观效果的优势，这可能归因于该材料较低的组织反应性、无色透明的外观以及成本效益。我们讨论了使用聚乙醇酸25时每个手术预计节省的成本。其他优点包括增加了通用性、易于操作和便利性。一些缺点包括缝线材料稍有僵硬，这可能需要外科医生对其打结技术进行微调，以及透明的外观，这可能使使用未染色版本的缝线材料时拆线更具挑战性。然而，使用聚乙醇酸25闭合手术创口的诸多优点超过了少数缺点。
