Cavaliere Annachiara, Pezone Giuseppe, D'Andrea Francesco, Schonauer Fabrizio
Unit of Plastic Surgery, University "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
Aesthetic Plast Surg. 2024 Dec 19. doi: 10.1007/s00266-024-04519-8.
The circumareolar approach is one of the most popular and versatile in breast surgeries. Nevertheless, this approach usually implies a closure under tension which could lead to areolar distortion, scar widening and hypertrophic scarring. To prevent these complications, different surgical adjustments to this technique have been proposed, such as the Hammond's "Interlocking Gore-Tex suture." Here, we propose a modification of the Hammond interlocking suture, the "Star Interlocking Suture." Between 2019 and 2023, the "Star Interlocking Suture" was used in 19 patients undergoing breast surgery with circumareolar approach. 3-0 Ethibond suture (Ethibond Excel; Ethicon, US LLC) was used for suturing. All 19 patients showed good results in terms of areolar scar appearance and diameter stability during a mean follow-up period of 12 months. No infections, skin fistulas or suture extrusion were observed. All patients were satisfied with the appearance of their areola and the suture material, green colored, was not visible. Only one patient did report palpability of the suture's knot.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
乳晕周围入路是乳房手术中最常用且用途广泛的方法之一。然而，这种方法通常意味着在张力下进行缝合，这可能导致乳晕变形、瘢痕增宽和肥厚性瘢痕形成。为预防这些并发症，人们提出了对该技术的不同手术调整方法，比如哈蒙德（Hammond）的“锁扣式 Gore-Tex 缝线法”。在此，我们提出一种对哈蒙德锁扣式缝线法的改良方法——“星形锁扣缝线法”。在2019年至2023年期间，19例行乳晕周围入路乳房手术的患者使用了“星形锁扣缝线法”。缝合时使用3-0 Ethibond缝线（Ethibond Excel；美国强生公司Ethicon有限责任公司）。在平均12个月的随访期内，所有19例患者在乳晕瘢痕外观和直径稳定性方面均显示出良好效果。未观察到感染、皮肤瘘或缝线外露情况。所有患者对乳晕外观均感满意，且绿色的缝线材料不可见。仅1例患者报告可触及缝线结。证据等级V 本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
