Optimizing Suture Selection in Emergency Wound Management: Techniques and Outcomes

• DOI: https://doi.org/10.22533/at.ed.1594862418093

• Palavras-chave: Suturing techniques; Absorbable sutures; Wound healing; Infection rates; Emergency medicine

• Keywords: Suturing techniques; Absorbable sutures; Wound healing; Infection rates; Emergency medicine

• Abstract: INTRODUCTION The management of wounds in emergency settings requires careful consideration of wound classification, the type of suture material, and the techniques employed to ensure optimal healing, minimize complications, and achieve desirable aesthetic outcomes. The choice of suture material—whether absorbable or non-absorbable—plays a significant role in influencing wound healing dynamics, infection rates, and patient comfort. OBJETIVE To explore the various types of sutures used in emergency settings, their impact on wound healing, infection rates, aesthetic outcomes, and complications, while also discussing the role of new technologies and the evolving landscape of wound management. METHODS This is a narrative review which included studies in the MEDLINE – PubMed (National Library of Medicine, National Institutes of Health), COCHRANE, EMBASE and Google Scholar databases, using as descriptors: “Emergency wound management” AND “Suture techniques” AND ”Absorbable and non-absorbable sutures” OR” Wound healing” OR “Aesthetic outcomes”.   in the last  ylears. RESULTS AND DISCUSSION The efficacy of different suture materials, particularly absorbable versus non-absorbable, varies depending on the wound type and clinical scenario. Monofilament sutures are generally preferred in contaminated wounds due to their lower infection risk, while multifilament sutures provide greater tensile strength for complex closures. The choice of suture technique, such as interrupted versus continuous sutures, also affects healing time, infection rates, and cosmetic outcomes. Recent advances, including antimicrobial-coated and biodegradable sutures, show promise in reducing complications and improving patient outcomes. CONCLUSION Selecting the appropriate suture material and technique is critical for optimizing wound healing and minimizing complications in emergency settings. A tailored approach considering patient-specific factors, wound characteristics, and new technological advancements can enhance patient outcomes and reduce healthcare costs. Further research is necessary to continue improving suture materials and techniques in emergency medicine.