What outcome can result from tight sutures?

Tight sutures can indeed lead to tissue necrosis, which occurs when the blood supply to an area is compromised. This happens because overly tight sutures can restrict blood flow to the surrounding tissues, cutting off their oxygen and nutrient supply. When tissues do not receive adequate blood flow, they can begin to die, leading to necrosis.

In surgical practice, careful suturing techniques are necessary to balance wound closure with the health of the tissue. The other outcomes listed, such as increased healing efficiency, improved patient comfort, and reduced scarring, are generally associated with proper suturing methods that do not excessively tighten the tissue. When sutures are applied too tightly, it can counteract these positive effects, resulting in complications such as necrosis instead.