Xia Yunfei,Shi Jia.Outcomes of modified fully buried vertical mattress suture versus intradermic continuous suture during pediatric surgery[J].Journal of Clinical Pediatric Surgery,,():377-381.[doi:10.3760/cma.j.cn101785-202403060-014]
Outcomes of modified fully buried vertical mattress suture versus intradermic continuous suture during pediatric surgery
- Keywords:
- Surgical Wound; Wound Closure Techniques; Cicatrix; Treatment Outcome; Child
- Abstract:
- Objective In clinical practices,intradermic continuous suture (ICS) is one of the most frequently applied.However,it is prone to scar hyperplasia due to insufficient tension reduction.Widely used in plastic surgery,modified fully buried vertical mattress suture (MFBVMS) has a good tension reducing effect.The goal of this study was to compare the effect of MFBVMS versus ICS on wound healing and scar prevention in pediatric surgery. Methods From January 2022 to August 2022,70 children were randomized by envelope method into two groups of study (MFBVMS,n=35) and control (ICS,n=35).During a follow-up period of 6 months.suturing time,scar width,Vancouver scar scale (VSS) score at Month 1/6 post-operation and the incidence of wound adverse events were compared between two groups. Results Suturing time was longer in study group than that in control group[(16.66±6.35) vs. (7.20±3.48) min,P<0.001,t=-7.729].At Month 6 post-operation,scar width was narrower in study group than that in control group[(1.13±0.53) vs. (2.49±1.03) mm,P<0.001,t=6.920]; VSS score was lower in study group than that in control group[(3.69±1.13) vs. (5.49±1.25),P<0.001,t=6.352].No incision adverse reactions occurred in study group and it was lower than 11.43% in control group (P<0.05,χ2=4.242).Incision healing time was shorter in study group than that in control group[(6.77±0.55) vs. (7.83±2.47),P<0.05,t=2.475]. Conclusions Application of MFBVMS may significantly minimize scar formation and improve the quality of incision healing in pediatric surgery.
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Memo
收稿日期:2023-07-04。
通讯作者:施佳,Email:shijia@xinhuamed.com.cn