Split-level folding, step-type tension-relieving suture technique, and the evaluation on scar minimization

被引：2

作者：

Zhang, Yuheng ^{[1
,2
]}

Lei, Zhanjun ^{[1
]}

Lin, Bin ^{[1
]}

Lin, Zhixiao ^{[1
,3
]}

Dong, Yuchen ^{[1
]}

Ren, Pan ^{[1
]}

Li, Xueyong ^{[1
]}

Bian, Yongqian ^{[1
]}

Zhao, Congying ^{[1
]}

机构：

[1] Fourth Mil Med Univ, Tangdu Hosp, Dept Burn & Plast Surg, 1 Xinsi Rd, Xian 710038, Peoples R China

[2] Western Theater Air Force Hosp PLA, Dept Orthoped, Chengdu, Peoples R China

[3] No 923 Hosp Joint Logist Support Force PLA, Dept Burn & Plast Surg, Nanning, Peoples R China

来源：

JOURNAL OF COSMETIC DERMATOLOGY | 2024年 / 23卷 / 06期

基金：

中国国家自然科学基金;

关键词：

cicatrix; scar assessment scale; scar minimization; suture technique; tension-relieving; BURIED VERTICAL MATTRESS; MECHANICAL FORCES; HYPERTROPHIC SCAR; SET-BACK; SKIN; PATIENT; MECHANOBIOLOGY; COLLAGEN; KELOIDS; AGE;

D O I：

10.1111/jocd.16236

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

BackgroundPrevailing tension-reducing suture methods have a spectrum of issues. This study presents a straightforward yet highly efficacious suture technique known as the Split-level Folding, Step-type Tension-relieving Suture technique, which could play a pivotal role in preempting incisional scarring.AimsTo introduce Split-level Folding, Step-type Tension-relieving Suture technique and assess its effect on scar minimization.MethodsA retrospective analysis of 64 patients who underwent treatment utilizing the proposed suturing methodology. Assessment parameters included the Patient and Observer Scar Assessment Scale (POSAS), the Vancouver Scar Scale (VSS), scar width, complications, and all evaluated at 6- and 12-month postoperatively.ResultsAt 12-month follow-up, the POSAS and VSS scores in the normal suture group (32.58 +/- 5.43, 3.58 +/- 1.39) were considerably higher than the step-type suture group (29.75 +/- 3.56, p = 0.0007; 2.78 +/- 1.17, p = 0.0006). Moreover, the step-type suture group showcased a significantly narrower average incision scar width (1.62 +/- 0.36) than the normal suture group (1.87 +/- 0.42, p = 0.0004). This novel tension-relieving suture technique that effectively circumvents the occurrence of persistent localized eversion and other complications often associated with traditional tension-relieving sutures.ConclusionsThe Split-level Folding, Step-type Tension-relieving Suture technique emerges as a highly promising option for averting incisional scarring. This suture method works well for incisions on the chest, back, and extremities, resulting in significantly better long-term outcomes.

引用

页码：2199 / 2208

页数：10