Continuous versus interrupted suturing of traumatic lacerations: a time, cost, and complication rate comparison.
BACKGROUND
The most frequently used techniques in the repair of traumatic lacerations are interrupted and continuous suturing.


METHODS
We performed a prospective study of interrupted and continuous suturing techniques evaluating suturing rates, suture economy, and complication rates in the repair of 101 traumatic lacerations.


RESULTS
Continuous closure was accomplished at a statistically faster rate (mean, 0.276 cm/min) than interrupted closure (mean, 0.175 cm/min; p = 0.004). Less suture material was used in the continuous closures (0.321 suture packets/cm) than in interrupted closures (0.508 suture packets/cm; p = 0.03). No statistically significant difference existed in the complication rate between the two closure methods (continuous, 1 of 44; interrupted, 1 of 57; p = 0.59).


CONCLUSIONS
Although suturing technique should be selected primarily on the basis of wound characteristics and surgeon preference, continuous suturing warrants consideration for the closure of traumatic lacerations because of its time/material economy and the lack increased complication rates.
Boutros
S
S
Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York 10016, USA.
Weinfeld
A B
AB
Friedman
J D
JD
D003362:Cost-Benefit Analysis; D006801:Humans; D011183:Postoperative Complications / Q000191:economics / Q000209:etiology; D017695:Soft Tissue Injuries / Q000191:economics / Q000601:surgery*; D013536:Suture Techniques / Q000191:economics; D013997:Time Factors; D014950:Wounds, Penetrating / Q000191:economics / Q000601:surgery*