Application of Dermal-fascial Suture for Residual Cavity Reduction in Pediatric Giant Posterior Cervical Subcutaneous Mass Resection
10.3969/j.issn.1009-6604.2025.05.009
- VernacularTitle:儿童后颈部皮下巨大肿物切除术中皮肤-肌膜缝合缩小残留腔隙的应用
- Author:
Xuelai LIU
1
;
Mao YE
1
;
Jingxuan SUN
1
Author Information
1. 首都儿科研究所附属儿童医院普通外科,北京 100020
- Publication Type:Journal Article
- Keywords:
Child;
Posterior cervical subcutaneous mass;
Dermal-fascial suture
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(5):308-311
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the surgical experience of residual cavity reduction by using dermal-fascial suture in giant posterior cervical subcutaneous mass(maximum diameter≥7 cm)resection.Methods From September 2019 to June 2024,27 pediatric patients with posterior cervical subcutaneous masses with maximum diameter≥7 cm underwent mass resection.By using 4-0 polypropylene suture,the residual cavity was reduced through a novel suturing technique:sutures were passed through the dermal layer into the residual cavity,and then anchored to the cervical muscular fascia through the surgical incision.After exiting the skin at 0.5-1 cm adjacent to the entry point,a 1 cm × 1 cm gauze bolster was placed between entry and exit points,and tied and secured.A drainage tube was placed at the lowest point of the residual cavity.Results All the 27 procedures succeeded.The operation time was 70-160 min(mean,95.0±12.5 min),with dermal-fascial suturing requiring 10-20 min(mean,15 min).The drainage volume was measured 2-5 ml at postoperative day 3,with no detectable fluctuation or significant tenderness at the residual cavity and skin incision.Cervical ultrasound confirmed no obvious residual cavity or fluid accumulation,and the drainage tube was removed.The postoperative hospital stay was 4-8 d(mean,6 d).Postoperative pathological diagnosis included 16 cases of lipomas,7 cases of fibrolipomas,and 4 cases of lymphangiomas.At 10 d follow-up visit,no discomfort was reported.Upon dressing change,the cervical shape was found to be normal,with no protrusions or indentations,or incision infection.At one month after surgery,ultrasound showed no abnormalities in the subcutaneous space of the neck,and the skin incision had healed.At 6 months after surgery,no recurrence of tumor was found.Conclusion Dermal-fascial suture effectively reduces residual cavity following giant posterior cervical mass resection in children,promoting tissue regeneration and wound healing while preventing complications.
