Division of Plastic Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
J Reconstr Microsurg. 2011 Jun;27(5):277-86. doi: 10.1055/s-0031-1275491. Epub 2011 Mar 24.
This study compared the use of barbed suture to a traditional skin closure method for incision closure in free flap breast reconstruction. A retrospective study compared the two closure methods in consecutive series of patients undergoing autologous breast reconstruction between January 2007 and January 2009. Outcomes included total duration of operation and wound complications. We also performed a cost analysis. Use of the barbed suture significantly decreased operative time for unilateral cases by an average of 45 minutes (405 versus 360 minutes, P = 0.02). For bilateral cases, the mean operative time was decreased by an average of 10 minutes (510 versus 500 minutes, P = 0.44). There were more episodes of delayed wound healing in the bilateral barbed suture group (33/46 [72%] versus 15/31 [48%], P = 0.04). No statistical difference was noted between the two groups with regard to dehiscence, infection, or suture extrusion. Use of the barbed suture was, however, more cost-effective. The use of a barbed suture in the closure of abdominal and breast incisions in free flap breast reconstruction may expedite wound closure and reduce the cost of the procedure but may increase wound complications.
本研究比较了使用带刺缝线与传统皮肤缝合方法对游离皮瓣乳房再造切口进行缝合的效果。回顾性研究比较了 2007 年 1 月至 2009 年 1 月连续接受自体乳房重建的患者的两种缝合方法。结果包括手术总时间和伤口并发症。我们还进行了成本分析。带刺缝线的使用使单侧病例的手术时间平均减少了 45 分钟（405 分钟与 360 分钟，P = 0.02）。对于双侧病例，平均手术时间减少了 10 分钟（510 分钟与 500 分钟，P = 0.44）。在双侧带刺缝线组中，延迟愈合的发生率更高（33/46 [72%]与 15/31 [48%]，P = 0.04）。两组之间在裂开、感染或缝线挤出方面没有统计学差异。然而，使用带刺缝线更具成本效益。在游离皮瓣乳房再造中，使用带刺缝线缝合腹部和乳房切口可能会加快伤口愈合并降低手术成本，但可能会增加伤口并发症。
