1.Effect of vacuum sealing drainage on the healing quality of cosmetic suture incision for large body surface masses
Huibin LIAN ; Zhongyin ZHUFU ; Gang XU ; Jie ZHOU ; Yi LUO ; Haibin JU ; Zhimin YIN
Journal of Clinical Surgery 2024;32(12):1250-1253
Objective To observe the effect of vacuum sealing drainage on the healing quality of cosmetic suture incision for large body surface masses.Methods From January 2020 to June 2023,60 patients with large surface mass hospitalized in the Department of Burns and Plastic Surgery of Northern Jiangsu People's Hospital were recruited as participants,and they were divided into study group and control group by block random method.Patients in the control group were treated with cosmetic suture technique to suture the surgical incision,while patients in the study group were treated with vacuum sealing drainage technique on the basis of cosmetic suture to further improve the quality of incision healing.The postoperative numerical rating scale(NRS)score,visual analogue scale(VAS)score,Vancouver Scar Scale(VSS)score,Patient Scar Assessment Scale(PSAS)score and other indicators were compared between the two groups.Results One week after surgery,the NRS score in the study group was(2.15±0.46)points,significantly lower than that in the control group(3.79±0.68)points,and the pain in the study group was less than that in the control group(P<0.05).Two week after surgery,the VAS score in the study group(1.57±0.63)points was also lower than that in the control group(3.62±0.96)points(P<0.05).The incision in the study group was smoother,and patients reported higher satisfaction with the incision compared to the control group.Six months post-operation,the VSS score in the study group(2.31±1.13)points was lower than that in the control group(3.49±1.46)points,while the PSAS score in the study group(7.68±1.65)points was significantly lower than that in the control group(11.33±1.92)points(P<0.05).In the study group,the incision scar was lighter and the scar condition was better.Conclusion The application of vacuum sealing drainage technology in the cosmetic suture incision for large body surface masses can further improve the quality of incision healing,reduce incision scar,and improve patient satisfaction.
2.Efficacy of cosmetic suturing techniques combined with topical recombinant human basic fibroblast growth factor in repairing facial trauma
Huibin LIAN ; Pingsong LI ; Kunjie RONG ; Gang XU ; Jie ZHOU ; Yi LUO ; Zhongyin ZHUFU ; Haibin JU ; Junjun JIN ; Rui JIAO ; Xiaowei ZHANG ; Zhimin YIN
Chinese Journal of Medical Aesthetics and Cosmetology 2024;30(6):571-575
Objective:To observe the efficacy of cosmetic suturing techniques combined with topical recombinant human basic fibroblast growth factor (rh-bFGF) in repairing facial trauma.Methods:A prospective study was conducted on 140 patients with facial trauma admitted to the Department of Burn and Plastic Surgery, Northern Jiangsu People's Hospital from January to December 2022. Patients were divided into two groups based on different treatment methods using a random number table method: treatment group (70 cases), including 38 males and 32 females aged 3 to 54 (23.1±8.2) years, received cosmetic suturing techniques combined with topical rh-bFGF for wound repair; control group (70 cases), including 36 males and 34 females aged 2 to 49 (22.3±7.5) years, only received cosmetic suturing techniques for wound repair. Patients were followed up 2 weeks post-surgery to evaluate wound healing quality. Patient satisfaction was assessed using the visual analogue scale (VAS). Six months post-surgery, scar conditions were evaluated using the Vancouver scar scale (VSS).Results:In the treatment group, 65 cases were directly sutured, and 5 cases were repaired with skin flaps, with a first-class healing rate of 100% (70/70). In the control group, 66 cases were directly sutured, and 4 cases were repaired with skin flaps, with a first-class healing rate of 91.4% (64/70). The first-class healing rate in the treatment group was higher than that in the control group, with a statistically significant difference ( P=0.037). Two weeks post-surgery, the VAS score for surgical satisfaction in the treatment group was (1.13±0.52) scores, which was lower than that in the control group (2.56±1.32) scores, with a statistically significant difference ( P<0.001). Six months post-surgery, the VSS score for the treatment group was (2.49±1.27) scores, which was lower than that in the control group (4.67±1.93) scores, with a statistically significant difference ( P<0.001). Conclusions:In repairing facial trauma, the combination of cosmetic suturing techniques and topical rh-bFGF can improve wound healing quality, reduce wound scarring, and enhance patient satisfaction with surgery.
3.Effect of vacuum sealing drainage on the healing quality of cosmetic suture incision for large body surface masses
Huibin LIAN ; Zhongyin ZHUFU ; Gang XU ; Jie ZHOU ; Yi LUO ; Haibin JU ; Zhimin YIN
Journal of Clinical Surgery 2024;32(12):1250-1253
Objective To observe the effect of vacuum sealing drainage on the healing quality of cosmetic suture incision for large body surface masses.Methods From January 2020 to June 2023,60 patients with large surface mass hospitalized in the Department of Burns and Plastic Surgery of Northern Jiangsu People's Hospital were recruited as participants,and they were divided into study group and control group by block random method.Patients in the control group were treated with cosmetic suture technique to suture the surgical incision,while patients in the study group were treated with vacuum sealing drainage technique on the basis of cosmetic suture to further improve the quality of incision healing.The postoperative numerical rating scale(NRS)score,visual analogue scale(VAS)score,Vancouver Scar Scale(VSS)score,Patient Scar Assessment Scale(PSAS)score and other indicators were compared between the two groups.Results One week after surgery,the NRS score in the study group was(2.15±0.46)points,significantly lower than that in the control group(3.79±0.68)points,and the pain in the study group was less than that in the control group(P<0.05).Two week after surgery,the VAS score in the study group(1.57±0.63)points was also lower than that in the control group(3.62±0.96)points(P<0.05).The incision in the study group was smoother,and patients reported higher satisfaction with the incision compared to the control group.Six months post-operation,the VSS score in the study group(2.31±1.13)points was lower than that in the control group(3.49±1.46)points,while the PSAS score in the study group(7.68±1.65)points was significantly lower than that in the control group(11.33±1.92)points(P<0.05).In the study group,the incision scar was lighter and the scar condition was better.Conclusion The application of vacuum sealing drainage technology in the cosmetic suture incision for large body surface masses can further improve the quality of incision healing,reduce incision scar,and improve patient satisfaction.
4. MEBO combined with vacuum sealing drainage in treatment of postoperative wounds after diabetic foot amputation: a report of 8 cases
Gang XU ; Yi LUO ; Zhongyin ZHUFU ; Jie ZHOU ; Huibin LIAN ; Haibin JU ; Pingsong LI
Chinese Journal of Endocrine Surgery 2019;13(6):517-519
When severe diabetic foot gangrene occurs, the surgical incision is often difficult to heal due to poor blood supply of distal limbs and severe local infection. The method of moist?expose?burn?ointment? (MEBO) combined with vacuum sealing drainage was applied to the wound of diabetic foot after amputation. The wound of 8 patients with diabetic foot after amputation was completely healed, the wound was repaired well, and the length of limb was retained to a large extent, and the function of affected limb was restored well.

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