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Effect of different surgical suture on wound healing and aesthetic effect of granulomatous lobular mastitis
CHEN Ying, TU Yihui, WU Gaosong, et al
2022, 18 (5):
406.
Objective To explore the effect of different surgical suture on wound healing and aesthetic effect of granulomatous lobular mastitis (GLM). Methods From January 2018 to January 2021, 168 patients with granulomatous lobular mastitis were randomly divided into mousse thread group, absorbable thread group and Songning group according to different types of surgical suture, with 56 patients in each group. The thread knot response at 7 and 14 days after operation, wound healing time, healing grade, wound healing related complications of the three groups were compared, and the satisfaction of the three groups with wound suture aesthetics was compared. Results The rate of Ⅲ degree of thread knot reaction in Songning group (14.28%, 8.9%) was significantly lower than that in absorbable thread group(41.07%, 30.35%) and mousse thread group (35.71%, 26.78%) at 7 and 14 days after operation, and the difference was statistically significant (P=0.005; P=0.014); The healing time of incision in the mousse thread group, absorbable thread group and Songning group was (7.4±1.43) d, (7.3±1.88) d and (6.9±0.88) d, respectively, and there was no significant difference among the three groups (P=0.722). There was no significant difference in wound healing grade among the three groups (P=0.055). The incidence of incision complications in mousse thread group, absorbable thread group and Songning group was 60.71%, 28.57% and 14.28%, respectively. The incidence of postoperative complications in Songning group was lower than that in mousse thread group (P=0.000). The total satisfaction rate of patients in the mousse thread group, absorbable thread group and Songning group was 78.57%, 80.35% and 92.85%, respectively. The total satisfaction rate of Songning group was higher than that of mousse thread group, and the difference was statistically significant (P=0.031). Conclusion Songning used as surgical suture in GLM can obtain better aesthetic effect and wound healing effect, and reduce the rate of wound healing related complications. For the incision with large tension, it is recommended to use three kinds of sutures in combination for layered sutures.
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