Thomas R D, Cunningham S C, Thomas M H, Donaldson D R
Department of Surgery, St Peter's Hospital, Chertsey, Surrey, UK.
J R Coll Surg Edinb. 1995 Aug;40(4):237-9.
In subcuticular wound closure, the use of anchorage beads or knots to maintain opposition of wound edges is a common practice, but can lead to complications. One hundred and one abdominal subcuticular wound closures (44 vertical and 57 transverse) were prospectively studied and assessment of wound swelling was made by measuring the length of exposed suture at both ends of the wound, on successive days postoperatively. Results showed progressive reduction in the exposed suture length. We would suggest that if anchorage beads are used with subcuticular sutures then they should not be pulled tight as postoperative wound swelling will cause the beads to be drawn into the wound often resulting in a troublesome ulcer(s) at the end(s) of the wound.
在皮下伤口缝合中，使用固定珠或打结来保持伤口边缘对合是一种常见做法，但可能会导致并发症。对101例腹部皮下伤口缝合（44例纵向和57例横向）进行了前瞻性研究，并在术后连续几天通过测量伤口两端外露缝线的长度来评估伤口肿胀情况。结果显示外露缝线长度逐渐缩短。我们建议，如果在皮下缝合时使用固定珠，不应将其拉紧，因为术后伤口肿胀会使珠子被拉入伤口，常常导致伤口末端出现麻烦的溃疡。
