The recommended suture technique uses the deep dermal layer to approximate the wound edges, thereby ensuring that minimal tension is put on the superficial layer. We did not use any strips/tape and there is no evidence in the scientific literature to justify or support the practice of closing a surgical wound with both subcuticular suture and adhesive surgical tape.1
Taped closure alone has advantages of lower wound infection rates and greater wound tensile strength but disadvantages of epidermal reaction, skin edge inversion, doubtful safety and time required for meticulous surgical technique.2
References
- 1.Yavuzer R, Kelly C, Durrani N, Mittal V, Jackson IT, Remine S. Reinforcement of subcuticular continuous suture closure with surgical adhesive strips and gum mastic: is there any additional strength provided? Am J Surg. 2005;189:315–8. doi: 10.1016/j.amjsurg.2005.01.003. [DOI] [PubMed] [Google Scholar]
- 2.Kolt JD. Use of adhesive surgical tape with the absorbable continuous subcuticular suture. Aust NZ J Surg. 2003;73:626–9. doi: 10.1046/j.1445-2197.2003.02696.x. [DOI] [PubMed] [Google Scholar]