Observation of the clinical effect of surgical resection of recurrent keloids with low tension suture combined with electronic irradiation
10.3760/cma.j.cn114453-20200617-00374
- VernacularTitle:复发性瘢痕疙瘩手术切除减张缝合联合电子线照射的临床疗效观察
- Author:
Qian YA
1
;
Hanfang YANG
;
Chanjuan WANG
;
Xiaoping REN
;
Huiyan QIN
;
Xuan QIN
Author Information
1. 运城市中心医院整形外科，运城 044000
- Keywords:
Keloid;
Recidivism;
Surgical procedures, operative;
Radiotherapy
- From:
Chinese Journal of Plastic Surgery
2022;38(1):74-77
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of de-stretching suture combined with electronic irradiation after resection of recurrent keloid.Methods:From May 2016 to August 2019, the patients with postoperative recurrent keloid were selected for the Department of Plastic Surgery, Yuncheng Central Hospital. The keloid lesions were resected, and the subcutaneous skin on both sides of the incision was extensively elevated to reduce the tension for direct suture. Local flap transfer was used when the direct suture is impossible due to too much tension. The PDS Ⅱ suture of 2-0 to 4-0 was used subcutaneously to reduce the suture tension with the "heart" suture technology, and the skin was intermittently sutured with the Prolene suture of 6-0 or 7-0 and 3M tensile tape was applied on the wound to reduce tension. Besides, electronic irradiation was performed within 6 hours and 1 week after the operation, with 8 Gy for each time, a total dose of 16 Gy. After the suture was removed, tension glue and elastic sleeve were used for external compression, and regular follow-up was conducted to observe the width and degree of scar hyperplasia of the patients. The therapeutic effect was evaluated according to the scar beauty evaluation and rating scale.Results:A total of 36 patients with postoperative recurrent of keloids were included in this group, including 28 males and 8 females, aged 17-68 years, with an average of 42.5 years old. The incisions healed in all patients after the operation, and no recurrence of keloids was found in the follow-up period of 18 to 36 months. The highest score of scar cosmetic evaluation and rating scale was 4, and the lowest was 0.Conclusions:Surgical resection combining with electronic irradiation is an effective method for the treatment of recurrent keloid.
