From the Research
The skin layer of suturing in laparoscopic CABG is called the dermis, specifically targeting the subcuticular layer just below the dermis for closure. During closure of laparoscopic port sites in CABG procedures, surgeons typically suture through this layer, which contains blood vessels, nerve endings, and collagen fibers that provide strength to the closure.
Key Points to Consider
- The dermis is the second layer of skin beneath the epidermis and is targeted for suturing due to its structural integrity and ability to support wound healing.
- Absorbable sutures like Vicryl or Monocryl are commonly used in a subcuticular pattern to close small port incisions, minimizing scarring and promoting cosmetic appearance, as noted in studies such as 1 and 2.
- Proper dermal closure, specifically targeting the subcuticular layer, helps reduce the risk of port site hernias and other complications associated with laparoscopic procedures, as discussed in 3 and 4.
- The choice of suture material and technique can impact patient outcomes, including pain, satisfaction, and risk of infection, highlighting the importance of evidence-based practices in dermatological and surgical procedures, as reviewed in 4.
Evidence-Based Recommendation
Based on the most recent and highest quality evidence, subcuticular suturing targeting the dermal layer is recommended for laparoscopic CABG procedures to ensure proper wound healing, minimize scarring, and reduce the risk of complications. This approach aligns with findings from studies such as 2 and 3, which support the use of absorbable sutures in subcuticular patterns for effective and cosmetic wound closure.