Regula Christie G, Yag-Howard Cyndi
*Vujevich Dermatology Associates, Pittsburgh, Pennsylvania; †Yag-Howard Dermatology Center, Naples, Florida; ‡Volunteer Clinical Faculty, Morsani College of Medicine, University of South Florida, Tampa, Florida.
Dermatol Surg. 2015 Oct;41 Suppl 10:S187-200. doi: 10.1097/DSS.0000000000000492.
There are an increasing number of wound closure materials and suturing techniques described in the dermatologic and surgery literature. A dermatologic surgeon's familiarity with these materials and techniques is important to supplement his or her already established practices and improve surgical outcomes.
To perform a thorough literature review of wound closure materials (sutures, tissue adhesives, surgical tape, and staples) and suturing techniques and to outline how and when to use them.
A literature review was conducted using PubMed and other online search engines. Keywords searched included suture, tissue adhesive, tissue glue, surgical tape, staples, dermatologic suturing, and suturing techniques.
Numerous articles outline the utility of various sutures, surgical adhesives, surgical tape, and staples in dermatologic surgery. In addition, there are various articles describing classic and novel suturing techniques along with their specific uses in cutaneous surgery.
Numerous factors must be considered when choosing a wound closure material and suturing technique. These include wound tension, desire for wound edge eversion/inversion, desired hemostasis, repair type, patient's ability to care for the wound and return for suture removal, skin integrity, and wound location. Careful consideration of these factors and proper execution of suturing techniques can lead to excellent cosmetic results.
皮肤病学和外科学文献中描述的伤口闭合材料和缝合技术的数量日益增加。皮肤科外科医生熟悉这些材料和技术对于补充其已有的操作方法并改善手术效果很重要。
对伤口闭合材料（缝线、组织粘合剂、手术胶带和吻合钉）及缝合技术进行全面的文献综述，并概述其使用方法和时机。
使用PubMed和其他在线搜索引擎进行文献综述。搜索的关键词包括缝线、组织粘合剂、组织胶水、手术胶带、吻合钉、皮肤科缝合和缝合技术。
大量文章概述了各种缝线、手术粘合剂、手术胶带和吻合钉在皮肤科手术中的效用。此外，还有各种文章描述了经典和新颖的缝合技术及其在皮肤手术中的具体用途。
选择伤口闭合材料和缝合技术时必须考虑众多因素。这些因素包括伤口张力、对伤口边缘外翻/内翻的需求、所需的止血效果、修复类型、患者护理伤口和返回拆线的能力、皮肤完整性以及伤口位置。仔细考虑这些因素并正确执行缝合技术可带来出色的美容效果。
