Bolster Mireille, Schipper Carlijn, Van Sterkenburg Steven, Ruettermann Mike, Reijnen Michel
Department of Plastic Surgery and Hand Surgery, University Medical Center Groningen, Groningen, The Netherlands.
J Plast Surg Hand Surg. 2013 Sep;47(4):289-91. doi: 10.3109/2000656X.2012.762006. Epub 2013 May 28.
Inversion of the wound edges is one of the potential causes of postoperative scar tenderness after open carpal tunnel release. When using vertical mattress sutures (also named Donati sutures), inversion of wound edges is less likely to occur compared with single interrupted sutures. The purpose of this study was to compare the use of both sutures after open carpal tunnel release and assess their effects on scar tenderness and functional outcome. A prospective randomised controlled trial was performed comparing single interrupted and Donati sutures. Eighty-nine hands were included in the study. Eight weeks postoperatively, scar formation was nice/very nice in 94% (single stitches) and 97% (Donati stitches) of the patients. Pain and disability scores were, in both groups, improved 8 weeks postoperatively, although the patients receiving Donati sutures had a 2-fold higher pain score. In conclusion, both Donati and single stitches are related to excellent scar formation. The Donati sutures are related to more prolonged postoperative pain.
伤口边缘内翻是开放性腕管松解术后瘢痕压痛的潜在原因之一。与单间断缝合相比，使用垂直褥式缝合（也称为多纳蒂缝合）时，伤口边缘内翻的可能性较小。本研究的目的是比较开放性腕管松解术后两种缝合方法的使用情况，并评估它们对瘢痕压痛和功能结局的影响。进行了一项前瞻性随机对照试验，比较单间断缝合和多纳蒂缝合。89只手纳入研究。术后8周，94%（单缝）和97%（多纳蒂缝）的患者瘢痕形成良好/非常好。两组患者术后8周疼痛和残疾评分均有所改善，尽管接受多纳蒂缝合的患者疼痛评分高出2倍。总之，多纳蒂缝合和单缝均与良好的瘢痕形成有关。多纳蒂缝合与术后疼痛持续时间较长有关。
