Breuninger H, Keilbach J, Haaf U
University of Tübingen Dermatological Clinic, Germany.
J Dermatol Surg Oncol. 1993 Jul;19(7):607-10. doi: 10.1111/j.1524-4725.1993.tb00398.x.
Tension on surgical wound edges is often an obstacle to proper closure and good cosmetic results in dermatologic surgery.
A buried, butterfly-shaped, interrupted suture has been developed to remedy this. The suture is anchored very broadly in the corium, the knot is below the corium. The butterfly suture can be supplemented by a temporary running suture or by close-set, superficially placed interrupted sutures.
This technique was studied in a follow-up of 876 operations, with histologic study of 60 scars resulting from the suture. In particular, the specific advantages and disadvantages of two synthetic suture materials were compared: monofilament (polydioxanon) and polyfilament (polyglactin 910).
Polydioxanon sutures were found to be clinically superior. It was important, however, that the suture knot be deeply anchored and that the surgeon be experienced.
Cosmetic results of 18,000 procedures with this suture over a period of 6 years were found to be clearly better than those of surgery with conventional sutures.
手术伤口边缘的张力常常是皮肤科手术中实现恰当缝合及良好美容效果的障碍。
已研发出一种埋藏式蝶形间断缝合术来解决这一问题。该缝合线在真皮层广泛固定，结位于真皮层下方。蝶形缝合可辅以临时连续缝合或紧密排列、浅置的间断缝合。
在对876例手术的随访中研究了该技术，并对60个由该缝合产生的瘢痕进行了组织学研究。特别比较了两种合成缝合材料的具体优缺点：单丝（聚二氧六环酮）和多丝（聚乙醇酸910）。
发现聚二氧六环酮缝线在临床上更具优势。然而，重要的是缝合结要深深固定且外科医生要有经验。
在6年时间里使用这种缝合线进行的18000例手术的美容效果明显优于使用传统缝线的手术。
