Duscher Dominik, Pollhammer Michael S, Wenny Raphael, Shamiyeh Andreas, Schmidt Manfred, Huemer Georg M
Section of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Kepler University Hospital, Krankenhausstrasse 9, 4020, Linz, Austria.
Department of Surgery, Kepler University Hospital, Linz, Austria.
Aesthetic Plast Surg. 2016 Dec;40(6):815-821. doi: 10.1007/s00266-016-0701-2. Epub 2016 Oct 3.
Surgical wound closure is often complicated by suture-related issues. The recent introduction of knotless barbed sutures may address the shortcomings of conventional sutures and offer the additional benefit of reduced operating time. In this paper, we describe our experience with barbed sutures for body-contouring procedures. We share technical insights and evaluate postoperative complications.
A retrospective assessment of prospectively collected data over a period of more than 5 years was undertaken. Six hundred twenty-three consecutive patients underwent 695 body-contouring procedures with barbed suture closure. Patients were followed for at least 12 weeks postoperatively. Patient demographics, operation time as well as suture-related complications, such as wound dehiscence and wound site infection were recorded and analyzed.
Barbed sutures can facilitate skin closure, rectus plication, quilting, and deep layer closure in body-contouring procedures. The average operating time in our study cohort was 108 min with reduction mammoplasty being the quickest (94 min) and bodylift (156 min) being the slowest procedure. Sixty-eight patients experienced suture-related complications resulting in an overall complication rate of 9.7 % with thigh lift having the most (15 %) and reduction mammoplasty (7 %) the fewest adverse events.
The use of barbed sutures allows quick closure of lengthy body-contouring incision lines with low complication rates. Our observations support that barbed sutures are safe, convenient and effective. In our hands barbed sutures appear to be superior to traditional wound-closure techniques in body-contouring procedures.
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手术伤口缝合常因缝线相关问题而变得复杂。最近推出的无结倒刺缝线可能解决传统缝线的缺点，并带来减少手术时间的额外益处。在本文中，我们描述了我们在身体塑形手术中使用倒刺缝线的经验。我们分享技术见解并评估术后并发症。
对前瞻性收集的超过5年的数据进行回顾性评估。623例连续患者接受了695例使用倒刺缝线闭合的身体塑形手术。术后对患者随访至少12周。记录并分析患者人口统计学资料、手术时间以及缝线相关并发症，如伤口裂开和伤口部位感染。
倒刺缝线可便于身体塑形手术中的皮肤闭合、腹直肌折叠、褥式缝合和深层闭合。我们研究队列中的平均手术时间为108分钟，其中缩乳术最快（94分钟），身体提升术（156分钟）最慢。68例患者出现缝线相关并发症，总体并发症发生率为9.7%，其中大腿提升术并发症最多（15%），缩乳术不良事件最少（7%）。
使用倒刺缝线可快速闭合较长的身体塑形切口线，并发症发生率低。我们的观察结果支持倒刺缝线安全、方便且有效。在我们手中，倒刺缝线在身体塑形手术中似乎优于传统伤口闭合技术。
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