The removable buried retention suture: a new technique

Area of Science:

• Surgical technique
• Wound closure
• Suture management

Background:

• Traditional through-and-through retention sutures cause skin and subcutaneous damage.
• Surgeons often avoid permanently burying non-absorbable retention sutures due to associated complications.
• Inefficiency and tissue damage limit the utility of conventional retention suture methods.

Purpose of the Study:

• To present a new technique for retention sutures that minimizes tissue damage and allows for suture removal.
• To enhance the efficiency and safety of deep fascial layer closure.
• To offer a reliable alternative to permanently buried retention sutures.

Main Methods:

• Utilizing tube conduits to guide retention sutures from deep fascial layers to the skin surface.
• Sutures are brought above the skin for easy removal, avoiding subcutaneous passage.
• The technique focuses on maximizing suture efficiency at the deep fascial level.

Main Results:

• Successfully employed in over 60 surgical cases.
• No instances of deep-wound separation were reported.
• Complications associated with the technique were minimal.

Conclusions:

• The novel tube conduit technique effectively prevents skin and subcutaneous tissue damage from retention sutures.
• This method allows for the removal of retention sutures, enhancing patient safety and comfort.
• The technique demonstrates high efficacy in preventing deep-wound separation with minimal complications.