A New Suture for Hair Transplantation: Poliglecaprone 25: Summary


Robert M. Bernstein, MD, William R. Rassman, MD, and Nazia Rashid

Dermatologic Surgery 2001; 27(1): 5-11.

College of Physicians and Surgeons, Columbia University, New York, New York

Background

The most common type of donor closure in hair transplantation is with non-absorbable, running sutures, usually of nylon or polypropylene. This is accomplished with, or without, buried absorbable sutures. Another popular method of closure is with stainless steel staples. Each of these methods has benefits and limitations with respect to healing, comfort and convenience for the patient.

Objective

The purpose of this study is: 1) to describe the use of Poliglecaprone 25 (Monocryl), a synthetic, absorbable, monofilament suture in hair transplantation surgery 2) to detail the suturing techniques needed to maximize the benefit of this suture and, 3) to compare this material and suturing technique to a well-established form of closure, that of metal staples in a bilaterally controlled fashion.

Methods

Poliglecaprone 25 (Monocryl) is a synthetic, absorbable monofilament suture of low tissue reactivity. It was compared to closure with metal staples in a bilateral controlled study. One side of the donor area was closed with Poliglecaprone 25 sutures (4-0 Monocryl) using a running cutaneous stitch and the other side was closed with stainless steel staples (3M-Precise DS-25). Patients were evaluated with regard to healing, post-operative discomfort, resultant surgical scar, and closure material preference.

Results

Of the 22 patients studied, the following post-op complaints were noted on the staples side; tenderness (12), itching (4), swelling (2) and scabbing (1). This compared to only one complaint of itching and one complaint of swelling on the Monocryl side. Two patients had post-operative complaints of visibility of staples showing through their hair. Objective measurements revealed a wider scar overall on the staples side in six patients and wider scar on the suture side in 2 patients. The average scar width on the staples side measured 1.78mm compared to a 1.42mm on the sutures side. Fourteen of the 22 patients preferred Monocryl for future procedures; one preferred metal staples and 7 had no preference. Most patients stated that post-operative discomfort from the staples and the inconvenience and occasional pain associated with their removal was responsible for their decision.

Conclusion

Poliglecaprone 25 (Monocryl) is a strong synthetic, absorbable, monofilament suture with low tissue reactivity that can be used in hair transplantation to close the donor wound with a single, running cutaneous stitch. This suture can provide a donor closure that ensures hemostasis, has little risk of infection and is comfortable for the patient. If specific surgical techniques are followed, this suture can provide a donor closure that ensures hemostasis has little risk of complications, is both comfortable and convenient for the patient post-op, and results in a fine surgical scar.









Robotic FUE Hair Transplants
We perform all FUE procedures using the ARTAS Robot.

Read more
Physician Consults
Meet with our board certified doctors to diagnose your hair loss and discuss treatments.

Schedule a Consult
Hair Transplant Photos
Before & after photos of more than 200 of our patients.

Dr. Bernstein answers common questions about hair restoration.

Video & Audio
Dr. Bernstein's television appearances and Q&A on hair restoration.

Video & Audio
Reasons to Visit
Reasons to visit our hair restoration facility in NYC.

Read more
Hair Loss For Dummies
The layman's guide to hair restoration, FUE, medical treatments, and more.

Read more
Get the latest news and updates in hair restoration from Bernstein Medical.

Sign Up Newsletter Archive
Dr. Bernstein on The Oprah Winfrey Show
Dr. Bernstein explains hair restoration procedures to Oprah and Dr. Oz and shows them a patient’s results.

Watch the Video
Share the Bernstein Medical website with your friends.

Share




© 2005-2016 Bernstein Medical, P.C. All Rights Reserved.

ARTAS, ARTAS Hair Studio, and RESTORATION ROBOTICS logo are among the trademarks and/or registered trademarks of Restoration Robotics, Inc. in the United States and/or other countries.