All authors are affiliated with the Department of Plastic Surgery, Peking Union Medical College Hospital.
Dermatol Surg. 2022 Jun 1;48(6):619-624. doi: 10.1097/DSS.0000000000003437. Epub 2022 Mar 21.
Subcuticular suture is an important technique for achieving optimum wound closure, and there has been no comprehensive summary of subcuticular sutures to date.
To summarize the origin and development of interrupted subcuticular suture to help clinicians improve their wound closure skills.
A comprehensive review of subcuticular suture techniques was conducted in PubMed to summarize the advantages and disadvantages of various methods and clinical indications.
Buried suture is the oldest subcuticular suture technique, followed by buried vertical mattress suture, intracutaneous butterfly suture, modified/variant buried vertical mattress suture, intradermal buried vertical mattress suture, buried horizontal mattress suture, wedge-section and modified buried vertical mattress suture, set-back suture, and modified buried horizontal mattress suture, which have gradually been applied in clinical practice. Buried vertical mattress suture is currently the most widely used subcuticular suture technique.
Patients can certainly benefit from the appropriate application of subcuticular suture. There is also no single ideal method for achieving optimal results in all cases. Fully understanding the history of subcuticular suture can help doctors improve their wound closure technique.
皮内缝合是实现最佳伤口闭合的重要技术,但迄今为止,还没有对皮内缝合进行全面总结。
总结间断皮内缝合的起源和发展,帮助临床医生提高伤口闭合技术。
在 PubMed 上对皮内缝合技术进行全面复习,总结各种方法的优缺点及临床适应证。
埋藏缝线是最古老的皮内缝合技术,其次是埋藏垂直褥式缝线、皮内蝴蝶缝线、改良/变异埋藏垂直褥式缝线、真皮内埋藏垂直褥式缝线、埋藏水平褥式缝线、楔形和改良埋藏垂直褥式缝线、退针法和改良埋藏水平褥式缝线,这些技术逐渐应用于临床实践。目前,埋藏垂直褥式缝线是最广泛应用的皮内缝合技术。
患者肯定能从皮内缝合的恰当应用中获益。在所有情况下,也没有一种单一的理想方法可以达到最佳效果。充分了解皮内缝合的历史可以帮助医生提高伤口闭合技术。