title: Absorbable or non-absorbable sutures? A prospective, randomised evaluation of aesthetic outcomes in patients undergoing elective day-case hand and wrist surgery.
abstract: BACKGROUND
  We prospectively evaluated aesthetic outcomes in a group of randomised patients who underwent elective day-case hand and wrist surgery using either absorbable or non-absorbable sutures.
  
  
  METHODS
  A cohort of 100 adult patients were randomised using sealed envelopes to receive either absorbable or non-absorbable sutures for their wound closure. Clinical review was carried out at 6 weeks. A postal questionnaire was sent to all patients 3 months following surgery comprising a visual analogue scale (VAS) for wound satisfaction, a validated 6-point patient scar assessment tool and the shortened version of the disabilities of the arm, shoulder and hand questionnaire (QuickDASH).
  
  
  RESULTS
  From the postal questionnaire, 70 responses were received. There was no statistically significant difference between the two groups in terms of VAS, patient scar assessment tool and quick DASH.
  
  
  CONCLUSIONS
  For elective day-case hand and wrist surgery, either suture material can be used confidently with respect to overall aesthetic appearance in such patients.
authors.affiliation: Department of Orthopaedic Surgery, Heart of England NHS Foundation Trust, Birmingham B9 5SS, UK. rik.kundra@googlemail.com
authors.forename: R K
authors.initials: RK
authors.lastname: Kundra
authors.forename: S
authors.initials: S
authors.lastname: Newman
authors.forename: A
authors.initials: A
authors.lastname: Saithna
authors.forename: A C
authors.initials: AC
authors.lastname: Lewis
authors.forename: S
authors.initials: S
authors.lastname: Srinivasan
authors.forename: K
authors.initials: K
authors.lastname: Srinivasan
mesh_terms: D020341:Absorbable Implants; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D002921:Cicatrix / Q000473:pathology; D004954:Esthetics; D005260:Female; D006225:Hand / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011446:Prospective Studies; D013537:Sutures; D016896:Treatment Outcome; D014953:Wrist / Q000601:surgery*; D055815:Young Adult