Evidence map›Paper›PMID 42702723›Full record

Trial reportJournal of orthopaedic surgery and research2026

Absorbable sutures reduce pain without compromising wound healing in open clinic hand surgery.

Mirjam Hägg, Cecilia Mellstrand Navarro, Johanna von Kieseritzky

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04812275 (Absorbable or Non Absorbable Sutures in Hand Surgery), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04812275 nacompletednot on this map

Absorbable or Non Absorbable Sutures in Hand Surgery

TypeinterventionalSponsorDepartment of Hand surgery SödersjukhusetRan2021 to 2023Enrolled270ConditionsWound Complication Hand SurgeryArmsSkin closure
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mirjam Hägg *Department of Hand Surgery, Södersjukhuset, Stockholm, Sweden. mirjam.hagg@gmail.com.
Cecilia Mellstrand Navarro *Department of Hand Surgery, Södersjukhuset, Stockholm, Sweden.
Johanna von Kieseritzky *Department of Hand Surgery, Södersjukhuset, Stockholm, Sweden. johanna.von.kieseritzky@ki.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis prospective cohort study aimed to compare absorbable and non-absorbable sutures in the context of open clinic hand surgery, focusing on postoperative wound infection, dehiscence, patient-reported pain during dressing or suture removal, and healthcare time utilization during follow-up.

methodsA total of 270 adult patients undergoing minor hand procedures in an outpatient surgical setting were enrolled. Patients were alternately assigned, on a biweekly basis, to receive either 5-0 polyglactin 910 (Vicryl Rapid®, Ethicon®) or 5-0 monofilament nylon (Ethilon®, Ethicon®) for skin closure. Wounds were assessed at a standardized two-week postoperative follow-up by trained nursing staff. The presence of wound infection or dehiscence was documented. The time required for inspection and dressing, or suture removal was recorded in minutes. Pain during dressing or suture removal was evaluated by patients using a visual analog scale (VAS).

resultsAt follow-up, no significant difference was observed in infection rates between the two groups, with one case in each group requiring antibiotic treatment (p = 1.0). Superficial wound dehiscence occurred in 13 patients in the absorbable suture group and 11 in the non-absorbable group (p = 0.390), with no cases requiring reoperation. Median time spent on wound care during the follow-up visit was five minutes in both groups. However, patients in the absorbable suture group reported significantly lower pain scores on the VAS compared to those with non-absorbable sutures (p < 0.001).

conclusionAbsorbable sutures offer a safe alternative to non-absorbable sutures in outpatient hand surgery, providing equivalent outcomes in terms of wound healing while significantly reducing discomfort during follow-up care. These findings support the use of absorbable sutures as a patient-friendly option in ambulatory hand surgical practice. Trial registration number The study was pre-registered on ClinicalTrials.gov 2021-02-26. (identifier: NCT04812275). LEVEL OF EVIDENCE: II.

Indexed as

Absorbable ImplantsAmbulatory Surgical ProceduresHandPostoperative PainSuturesWound HealingAdultAgedCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPolyglactin 910Prospective StudiesPolyglactin 910Absorbable suturesHand surgeryInfection surgical woundNon absorbable suturesPostoperative infectionWound rupture

Identifiers

PMID42702723
PMCPMC13548472

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.