Weber P J, Wulc A E
Department of Ophthalmology (Oculoplastic Division), University of Pennsylvania, Philadelphia.
Ann Plast Surg. 1992 Nov;29(5):471-3. doi: 10.1097/00000637-199211000-00020.
Routine cuticular sutures pierce the epidermis, and if left in place long enough, will noticeably scarify, a process called "tracking." Alternatively, the running subcuticular suture has the advantage of minimizing suture tracking, especially following a prolonged usage, because it does not pierce the epidermis along most of its course. A "hybrid" modification of these two sutures, described herein, allows for prolonged tight closure under high tension in high-movement areas, avoidance of tracking, and rapidity of placement. This innovation is called the vector-running subcuticular suture.
常规的表皮缝合会穿透表皮，如果留置时间足够长，会明显造成瘢痕化，这一过程称为“缝线痕迹”。另外，连续皮下缝合的优点是能将缝线痕迹降至最低，尤其是在长期使用后，因为它在大部分行程中不会穿透表皮。本文所述的这两种缝合的“混合”改良方法，可在高活动区域的高张力下实现长时间紧密闭合，避免出现缝线痕迹，并能快速缝合。这种创新方法称为矢量连续皮下缝合。
