Technique and experience of wound closure with barbed sutures in abdominoplasty
10.3760/cma.j.cn114453-20220629-00197
- VernacularTitle:可吸收倒刺线在腹壁整形术切口缝合中的应用效果及操作技巧
- Author:
Boyang XU
1
;
Shangshan LI
;
Chunjun LIU
Author Information
1. 中国医学科学院北京协和医学院整形外科医院乳房整形中心，北京 100144
- Keywords:
Abdominoplasty;
Suture techniques;
Barbed sutures
- From:
Chinese Journal of Plastic Surgery
2023;39(6):596-601
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce the efficacy and surgical experience of barbed sutures in wound closure of abdominoplasty.Methods:A prospective study of patients who underwent abdominoplasty in Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College from August to December 2021 was carried out. Barbed sutures and corresponding techniques were used for wound closure. These patients were included in the study group. Also, patients who underwent abdominoplasty from January to Jule 2021 and did not use barbed sutures were retrospectively included in the control group. Baseline data, surgical details, and follow-up records were reviewed and collected for statistical analysis. Normal distribution measurement data were expressed as Mean±SD, and independent sample t-test was used for comparison between the two groups. Count data were expressed as cases (%) and analyzed by Chi-square test or Fisher exact test. Results:Twenty female patients aged 31-51 years old with body mass index (BMI) of (23.2±2.5) kg/m 2 were included in the study group, followed up for 6-8 months. The control group included 18 female patients, aged 32-55 years old, with BMI of (23.9±3.7) kg/m 2, and were followed up for 6-12 months. The abdominoplasty incision length of the study group was (36.5±4.5) cm and that of the control group was (35.0±3.4) cm, and there was no statistical significance between the two groups ( P>0.05). The closure time of the study group was (51±7) min, significantly shorter than that of the control group [(98±15) min]( P<0.01). In the study group, 2 patients [10.0%(2/20)] had delayed wound healing caused by incision fat liquefaction. In the control group, delayed wound healing occurred in three patients (3/18), which was caused by incision fat liquefaction (1 case) and suture extrusion (2 cases). There was no significant difference in postoperative wound complication rates between the two groups ( P>0.05). The Vancouver scar scale at three-month follow-up was scored (5.9±1.3) in the study group, (5.6±1.2) in the control group, with no significant difference ( P>0.05). The follow-up visits observed no abdominal wall bulge, hernia, or hypertrophic scar. All patients reported satisfying aesthetic outcomes. Conclusion:Barbed sutures significantly shorten the wound closure time in abdominoplasty. The described closure technique is safe and beneficial for efficiency.
