Application and effect of tension-reducing suture in surgical treatment of hypertrophic scar.

Hypertrophic scar LBD suture Scar management Tension-reducing suture

Journal

BMC surgery
ISSN: 1471-2482
Titre abrégé: BMC Surg
Pays: England
ID NLM: 100968567

Informations de publication

Date de publication:
23 Apr 2024
Historique:
received: 31 12 2023
accepted: 16 03 2024
medline: 24 4 2024
pubmed: 24 4 2024
entrez: 23 4 2024
Statut: epublish

Résumé

To investigate the application and effectiveness of tension-reducing suture in the repair of hypertrophic scars. A retrospective analysis of clinical data was conducted on 82 patients with hypertrophic scars treated at the Department of Burns and Plastic Surgery of Nanjing Drum Tower Hospital from September 2021 to December 2022. Patients were operated with combination of heart-shaped tension-reducing suturing technique and looped, broad, and deep buried (LBD) suturing technique or conventional suture method. Outcomes of surgical treatment were assessed before and 6 months after surgery using the Patient and Observer Scar Assessment Scale (POSAS) and the Vancouver Scar Scale (VSS). Improvements were achieved on scar quality compared to that preoperatively, with a reduction in scar width (1.7 ± 0.6 cm vs. 0.7 ± 0.2 cm, P < 0.001). Assessment using the POSAS and VSS scales showed significant improvements in each single parameter and total score compared to preoperative values (P < 0.05). The Combination method group achieved better score in total score of VSS scale, in color, stiffness, thickness and overall opinion of PSAS scale, and in vascularity, thickness, pliability and overall opinion of OSAS scale. The amalgamation of the heart-shaped tension-reducing suturing technique and the LBD suturing technique has shown promising outcomes, garnering notably high levels of patient satisfaction in the context of hypertrophic scar repair. Patients have exhibited favorable postoperative recoveries, underscoring the clinical merit and the prospective broader applicability of this approach in the realm of hypertrophic scar management.

Identifiants

DOI: 10.1186/s12893-024-02390-7 PMID: 38654240
pubmed: 38654240
doi: 10.1186/s12893-024-02390-7
pii: 10.1186/s12893-024-02390-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

119

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Jingjing Chen (J)

Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China.

Yan Mo (Y)

Department of Dermatology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China.
Department of Dermatology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

Yadan Chen (Y)

Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China.
Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, NO. 321, Zhongshan Road, Nanjing, Jiangsu, China.

Zhouji Ma (Z)

Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China.
Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, NO. 321, Zhongshan Road, Nanjing, Jiangsu, China.

Siyun Shen (S)

Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China.

Hong Sang (H)

Department of Dermatology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China. shzwqzsl@163.com.

Qian Tan (Q)

Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China. smmutanqian@sina.com.
Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, NO. 321, Zhongshan Road, Nanjing, Jiangsu, China. smmutanqian@sina.com.

Ran Mo (R)

Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China. mr88mr88@163.com.
Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, NO. 321, Zhongshan Road, Nanjing, Jiangsu, China. mr88mr88@163.com.

Classifications MeSH