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Related Concept Videos

Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

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Split-level folding, step-type tension-relieving suture technique, and the evaluation on scar minimization.

Yuheng Zhang1,2, Zhanjun Lei1, Bin Lin1

  • 1Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Journal of Cosmetic Dermatology
|February 24, 2024
PubMed
Summary

A novel Split-level Folding, Step-type Tension-relieving Suture technique significantly reduces incisional scarring. This method offers improved scar minimization and fewer complications compared to traditional sutures.

Keywords:
cicatrixscar assessment scalescar minimizationsuture techniquetension‐relieving

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Area of Science:

  • Surgical Innovation
  • Wound Healing
  • Scar Management

Background:

  • Existing tension-reducing suture methods present various challenges.
  • A new Split-level Folding, Step-type Tension-relieving Suture technique is introduced to address these issues.
  • This technique aims to prevent incisional scarring effectively.

Purpose of the Study:

  • To present the Split-level Folding, Step-type Tension-relieving Suture technique.
  • To evaluate its efficacy in minimizing scar formation and improving patient outcomes.

Main Methods:

  • Retrospective analysis of 64 patients using the novel suture technique.
  • Assessment of scar characteristics using Patient and Observer Scar Assessment Scale (POSAS) and Vancouver Scar Scale (VSS).
  • Evaluation of scar width and complications at 6 and 12 months post-surgery.

Main Results:

  • The step-type suture group showed significantly lower POSAS and VSS scores at 12 months compared to the normal suture group.
  • Incisional scar width was significantly narrower in the step-type suture group.
  • The technique effectively avoided complications like localized eversion seen with traditional methods.

Conclusions:

  • The Split-level Folding, Step-type Tension-relieving Suture technique is a promising approach for preventing incisional scarring.
  • This method demonstrates superior long-term outcomes for chest, back, and extremity incisions.
  • It offers an effective alternative to traditional tension-relieving sutures.