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Bifurcating Method for Subcutaneous Indwelling of Nonabsorbable Threads
Makoto Akahori1, Shigeki Sakai1, Kazuo Kishi1
1From the Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.
Plastic and Reconstructive Surgery. Global Open
|January 17, 2025
Summary
A new surgical technique places nonabsorbable thread knots deeper, reducing exposure risk in plastic surgery. This method also minimizes overcorrection and simplifies revision surgery for better patient outcomes.
Area of Science:
- Plastic Surgery
- Surgical Techniques
Background:
- Subcutaneous nonabsorbable threads are used for tissue fixation and tension reduction in procedures like breast reduction and ptosis repair.
- Thread exposure, often due to knot exposure, can necessitate removal and lead to complications.
Purpose of the Study:
- To introduce a novel surgical method for subcutaneous indwelling of nonabsorbable threads that prevents knot exposure.
- To reduce complications and revision surgery time associated with thread exposure.
Main Methods:
- A stab incision was used to place ligated nonabsorbable threads.
- Needles attached to thread ends were passed through the incision to separate subcutaneous sites.
- Threads were then retrieved and cut, positioning knots deeper within the tissue.
Main Results:
- The novel technique successfully positions thread knots deeper, significantly reducing the risk of exposure.
- The method allows for placement of thread ends at separate sites, mitigating the risk of overcorrection.
- Leaving a portion of the knot under the skin aids visibility and access during revision surgery.
Conclusions:
- This technique offers a solution to the problem of subcutaneous thread exposure in plastic surgery.
- It potentially reduces revision surgery rates, operative time, and improves patient outcomes by minimizing complications.
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