Hemostatic Net Sutures: A New Solution to an Old Problem

Abstract

Objective: The use of hemostatic net sutures, known for their efficacy in reducing hematoma formation in rhytidoplasty, is emerging as a promising technique for skin graft fixation. This research focuses on evaluating the effectiveness of hemostatic net sutures in securing full-thickness skin grafts, aiming to improve graft uptake and minimize complications.
Place and Duration of Study: Fauji Foundation Hospital, Rawalpindi, From July 2022 to December 2023.
Methods: We conducted a prospective study at a single institution, involving 30 patients who underwent full-thickness skin grafting in the head and neck region and required hemostatic suturing over a period of 1.5 years.
Results: The study encompassed 30 full-thickness skin graft reconstructions, with a follow-up period extending up to three weeks. A notable graft take rate of 90% was observed, with half of the cases achieving 100% adherence. The average time for the procedure was approximately 26.7 minutes across an average defect area of 58 cm². Major hematoma formation was observed in only 3% of the cases, with no significant influence of age, sex, or defect area on the graft take rate.
Conclusion: Hemostatic net suturing demonstrates its efficacy in ensuring adequate graft adherence while simultaneously minimizing tissue manipulation, reducing surgical time, and lowering complication rates.