关节镜检查后使用拉出式领结皮下缝线进行皮肤缝合。
Skin closure after arthroscopy utilizing a pull-out bow-tie subcuticular suture.
作者信息
Nacius Lori Ann, Pascual-Garrido Cecilia, Sagiv Paul, Mei-Dan Omer
机构信息
Sports Medicine and Hip Preservation Service, Department of Orthopedics University of Colorado, USA.
出版信息
Muscles Ligaments Tendons J. 2015 Feb 5;4(4):404-6. eCollection 2014 Oct-Dec.
BACKGROUND
suturing techniques employed to close subcuticular surgical incisions are varied.
PURPOSE
we present the "bow-tie" stitch, which is removed by pulling one side of the stitch with no need for sharp object stitch cutting. The stitch results in good approximation and scarring while enabling proper oozing.
METHODS
we have used this suture repeatedly for wound closure after hip and knee arthroscopy; its application to other superficial skin closures is easily appreciated.
RESULTS
this method of skin closure allows for ease of tying for the surgeon, aesthetically pleasing results for the patient, pain-free suture removal, no risk of suture knots becoming embedded in healing tissue, and decreased risk of infection and damage to skin, as instruments are not required for suture removal.
背景
用于闭合皮下手术切口的缝合技术多种多样。
目的
我们介绍一种“领结”缝合法，该缝合法通过牵拉缝线的一侧即可拆除，无需用锐器剪断缝线。这种缝合方式能实现良好的对合和瘢痕形成，同时保证适当的渗液。
方法
我们已多次使用这种缝线进行髋、膝关节镜检查后的伤口闭合；其在其他浅表皮肤闭合中的应用也很容易理解。
结果
这种皮肤闭合方法对外科医生来说打结轻松，对患者而言美观效果良好，拆线时无痛感，缝线结不会嵌入愈合组织，且由于拆线时无需器械，感染和皮肤损伤风险降低。
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