Comparison of outcomes of Nylon and Silk sutures two weeks post modified radical mastectomy
Keywords:
Modified radical mastectomy, Nylon Suture, Silk SutureAbstract
ABSTRACT
AIM: To study the outcomes of nylon and silk sutures for skin closure two weeks post modified radical mastectomy.
OBJECTIVES:1: To assess postoperative complications, cosmetic appearance and surgical site infection of wound in modified radical mastectomy with silk sutures.
2: To assess postoperative complications, cosmetic appearance and surgical site infection of wound in modified radical mastectomy with nylon sutures.
3: To compare the outcomes of nylon and silk sutures for skin closure two weeks post modified radical mastectomy.
MATERIALS AND METHODS: Prospective observational study carried out at SGRDIMSR, Vallah, Sri Amritsar on 80 patients in two groups in equal size who underwent skin closure after modified radical mastectomy using nylon and silk sutures. Improvement in symptoms were compared on postoperative day 2, 5, 8, 10 and 14.
RESULTS: In our study, 120 patients were admitted in the surgical ward during the period of August, 2023 to February, 2025 with carcinoma breast. During their stay, 80 patients among them underwent modified radical mastectomy. Among them 40 patients underwent skin closure with nylon suture and other 40 patients underwent skin closure with silk suture. Wound infection, suture site abscess and wound discharge was observed more in silk sutures during post-operative period. Wound dehiscence rates remained low in both groups with minor variations across the time points. Nylon suture showed a better scar appearance at follow up.
CONCLUSION: In this study it was noted that Nylon suture showed a more aesthetically favourable scar appearance at 2 weeks after discharging the patients who underwent modified radical mastectomy.
KEYWORDS: Modified radical mastectomy, Nylon Suture, Silk Suture
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Copyright (c) 2025 Dr Arshiya Dayal, Dr Manjit Singh Uppal, Dr Kaushal Seth, Dr Ripudaman Kahlon
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