Abboud Nicolas M, El Hajj Hiba, Abboud Sofie, Dibo Saad, Abboud Marwan H
Plastic and Reconstructive Surgery Resident, Brussels, Belgium.
Head of the Division of Plastic and Reconstructive Surgery, Centre Hospitalier Universitaire de Tivoli, Brussels, Belgium.
Aesthet Surg J Open Forum. 2020 Feb 27;2(1):ojaa008. doi: 10.1093/asjof/ojaa008. eCollection 2020 Jan.
Wound closure utilizing barbed sutures has been associated with healing problems, such as thread extrusion, infection, and the increase of an inflammatory response around the scar.
In our study, the senior author described a novel technique of skin incision and wound closure based on de-epithelization and bi-layer tension-free closure that minimizes complications.
In this retrospective study, the authors reviewed the evolution of wound healing for the novel technique developed by the senior author by analyzing clinical reports of 817 patients who underwent surgery for abdominoplasty or breast reduction utilizing power-assisted liposuction mammaplasty with the new incision and closure technique. In addition, three separate plastic surgeons reviewed the wound characteristics and overall appearance by analyzing photographs that were taken over the course of 12 months to document the healing process.
The overall complication rate was 14.1%, with 0.4% hematoma, 1.25% infection, 0.8% seroma, 1.5% necrosis, 3.75% erythema, 3.3% delayed wound healing, and 3.1% suture extrusion. The authors reported the rate of step-off border (9%), contour irregularities (6.5%), margin separation (1.25%), edge inversion (3.2%), excessive distortion (0.9%), and bad overall appearance (6.4%) of the cases.
This new technique in wound incision and closure based on de-epithelization and bilayer tension-free closure reduces the complications associated with barbed sutures.
使用倒刺缝线进行伤口闭合与愈合问题相关，如缝线外露、感染以及瘢痕周围炎症反应增加。
在我们的研究中，资深作者描述了一种基于去上皮化和双层无张力闭合的皮肤切口和伤口闭合新技术，可将并发症降至最低。
在这项回顾性研究中，作者通过分析817例行腹部整形术或缩乳术的患者的临床报告，回顾了资深作者开发的新技术的伤口愈合演变情况，这些患者采用了新的切口和闭合技术的动力辅助吸脂乳房整形术。此外，三位独立的整形外科医生通过分析在12个月期间拍摄的照片来评估伤口特征和整体外观，以记录愈合过程。
总体并发症发生率为14.1%，其中血肿0.4%，感染1.25%，血清肿0.8%，坏死1.5%，红斑3.75%，伤口延迟愈合3.3%，缝线外露3.1%。作者报告了病例的台阶状边界发生率（9%）、轮廓不规则发生率（6.5%）、边缘分离发生率（1.25%）、边缘内翻发生率（3.2%）、过度变形发生率（0.9%）和整体外观不佳发生率（6.4%）。
这种基于去上皮化和双层无张力闭合的伤口切开和闭合新技术减少了与倒刺缝线相关的并发症。
