Effect of precise tension-reducing suturing of skin incisions using buried guiding suture needles
10.3760/cma.j.issn.1671-0290.2023.02.006
- VernacularTitle:埋没导引缝合针精准减张缝合皮肤切口的效果
- Author:
Tianmu LI
1
;
Mai ZHOU
;
Jufang JIANG
;
Gangjun JIAO
;
Xiaoda LI
;
Senkai LI
Author Information
1. 民航医学中心 民航总医院外一科，北京 100123
- Keywords:
Scar;
Buried and guided suture needles;
Buried and guided suture technique;
Incision suture;
Tension reduction suture
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(2):100-103
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the precise layered and tension-reducing sutures for skin pigmented mole surgery to promote tissue healing and reduce scar hyperplasia.Methods:From January 2019 to December 2021, the First Department of Surgery of the Civil Aviation General Hospital and Tenth Department of the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences treated 56 patients with skin pigmented moles aged 18-52 years, with an average age of 26 years, including 30 males and 26 females. All patients in this group underwent surgical resection of skin pigmented moles, which reached the subcutaneous fat layer. The dermis and subcutaneous tissue under the skin incision were precisely buried and guided suture by using the middle common hole equal-chord and equal-arc buried guide suture with scale marks on both ends of the needle tip.Results:The incision width of skin tissue defect in this group of patients was less than 30 mm. After the suturing was completed, the tension between the tissues on both sides of the incision and the close-fitting of each layer of tissue on both sides of the incision without dead space were realized immediately. 55 cases achieved primary incision healing. After two years of follow-up observation, there was no scar hyperplasia, and the effect was satisfactory. In only one case, local incision was red and swollen due to suture reaction, and a small amount of scar hyperplasia appeared later.Conclusions:This submerged guided suture method is an effective surgical technique for reducing skin incision scars, and it is more suitable for small incisions with a skin incision length of less than 10 mm, which is difficult to achieve layered suture of the deep tissue of the incision with ordinary suture needles.
