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Split-level folding, step-type tension-relieving suture technique, and the evaluation on scar minimization.
Zhang, Yuheng; Lei, Zhanjun; Lin, Bin; Lin, Zhixiao; Dong, Yuchen; Ren, Pan; Li, Xueyong; Bian, Yongqian; Zhao, Congying.
Afiliación
  • Zhang Y; Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
  • Lei Z; Department of Orthopedics, Western Theater Air Force Hospital of PLA, Chengdu, China.
  • Lin B; Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
  • Lin Z; Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
  • Dong Y; Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
  • Ren P; Department of Burn and Plastic Surgery, No. 923 Hospital of Joint Logistic Support Force of PLA, Nanning, China.
  • Li X; Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
  • Bian Y; Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
  • Zhao C; Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
J Cosmet Dermatol ; 23(6): 2199-2208, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38400620
ABSTRACT

BACKGROUND:

Prevailing 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.

AIMS:

To introduce Split-level Folding, Step-type Tension-relieving Suture technique and assess its effect on scar minimization.

METHODS:

A 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.

RESULTS:

At 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.

CONCLUSIONS:

The 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Técnicas de Sutura / Cicatriz Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Cosmet Dermatol Asunto de la revista: DERMATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Técnicas de Sutura / Cicatriz Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Cosmet Dermatol Asunto de la revista: DERMATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido