Basyuni, Shadi

Bennani, Maryam

Bennett, Henry

Bosley, Robert

Cameron, Malcolm

Chu, Jonathan

Davies, Matthew

Ferro, Ashley

Fowell, Christopher

Hjalmarsson, Clarissa

Jenkyn, Ian

Man, Chang-Bon

Mehdizadeh, Roxanne

Moar, Kanwalraj

Moorhouse, Keri

Nugent, Gareth

Pancharatnam, Navin

Santhanam, Vijay

Thompson, Mark

Facial lacerations are commonly encountered in emergency departments and require effective management to optimise aesthetic outcomes. Non-resorbable sutures are traditionally favoured for their tensile strength and minimal inflammatory response, despite the inconvenience of the required follow up for removal. This single-centre, single-blinded randomised controlled trial aimed to compare the clinical efficacy and cost-effectiveness of resorbable (Vicryl Rapide) versus non-resorbable (Ethilon) sutures for the closure of facial lacerations in adults. Between November 2021 and February 2023, 200 adult patients presenting with facial lacerations were randomly allocated to either resorbable or non-resorbable sutures. Outcomes assessed included aesthetic results via the Visual Analogue Scale (VAS) and Hamilton Scar Scale, patient-reported satisfaction using the Patient Scar Assessment Questionnaire (PSAQ), complication rates, and cost analysis. No significant differences were found in mean VAS scores between the two groups in both modified intention-to-treat and per-protocol analyses. The majority of patients reported high satisfaction levels. Early complication rates were significantly higher in the non-resorbable group at the one-week follow up, with no long-term differences noted. Preliminary cost analysis indicated a more than five-fold cost saving with resorbable sutures. Resorbable sutures provide a viable and cost-effective alternative to non-resorbable sutures for adult facial lacerations, with comparable aesthetic outcomes and patient satisfaction. Their use could reduce healthcare burdens by eliminating the need for follow-up suture removal, supporting broader adoption in clinical practice

Apollo (Cambridge)

Randomised controlled trial of resorbable versus non-resorbable sutures for lacerations of the face (TORN Face).

Randomised controlled trial of resorbable versus non-resorbable sutures for lacerations of the face (TORN Face)

Randomised controlled trial of resorbable versus non-resorbable sutures for lacerations of the face (TORN Face)

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Apollo (Cambridge)