title: Randomised clinical trial of suture compared with adhesive strip for skin closure after HRT implant.
abstract: To determine which method of skin closure was associated with less bleeding, 250 women were randomly allocated to have either a suture closure (3-0 Dexon II) or an adhesive strip closure (Steri-Strip) following subcutaneous insertion of hormone (HRT) implants. Data were collected via a tested questionnaire and analysed. Significantly, more women in the adhesive strip group recorded postprocedure bleeding (RR = 2.26; 95% CI 1.42-3.60) and considered the bleeding excessive (RR = 4.17; 95% CI 1.18-14.76) and unacceptable (RR = 12.52; 95% CI 1.63-96.19). Pain scores and symptoms of local infection were similar in both groups. Routine use of adhesive strips for implant skin incision closure is not recommended.
authors.affiliation: Department of Obstetrics and Gynaecology, Southend Hospital, Westcliff-on-Sea, Essex, UK.
authors.forename: Daniel O
authors.initials: DO
authors.lastname: Selo-Ojeme
authors.forename: K B
authors.initials: KB
authors.lastname: Lim
mesh_terms: D001458:Bandages; D016063:Blood Loss, Surgical; D005260:Female; D020249:Hormone Replacement Therapy; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control; D011100:Polyglycolic Acid / Q000627:therapeutic use; D013536:Suture Techniques; D013537:Sutures; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014945:Wound Healing / Q000502:physiology*
chemical_list: D014014:Tissue Adhesives; D011100:Polyglycolic Acid