Journal of Tissue Engineering and Reconstructive Surgery ›› 2023, Vol. 19 ›› Issue (3): 236-.

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 Clinical observation of subcutaneous buried transverse mattress suture on reducing high-tension incision scar

  

  • Online:2023-06-01 Published:2023-07-05

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Abstract:

Objective　To investigate the effect of subcutaneous buried transverse mattress suture on reducing high-tension
incision scar. Methods　Twelve patients with body surface pigmented nevus or local scar were selected, and the lesions were
removed by outpatient operation. Then the superficial fascia layer was dissociated 1-1.5 cm to both sides of the incisal margin,
and the incisions were sutured. The incisions were divided into modified suture group and traditional control group by self control
method. In the modified suture group, subcutaneously buried transverse mattress suture was used to reduce tension and close
the incision, while in the traditional suture group, subcutaneously buried vertical mattress suture was used to reduce tension and
close the incision, and then interrupted suture was used to close the skin surface. Incision healing was observed during suture
removal. Scar width was measured 6 months after operation, and the score of Vancouver scar scale was performed. Results
Among the 12 patients, 10 patients completed the operation and incision healing observation. Scar measurement and evaluation
were completed in 10 patients 6 months after the operation. Scar width in the modified suture group was (0.66±0.22) mm, smaller than the traditional control group [(0.98±0.24) mm], and the difference was significant (P<0.05). Vancouver scar scale score
in the modified suture group was 1.70±0.55, also significantly lower than the traditional control group (3.07±0.97) with signif
icant difference (P<0.05). Conclusion　Subcutaneous buried transverse mattress suture can more fully relieve incision tension
and reduce postoperative scarring than traditional tension-reducing suture method.

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