Clinical observation of super tension-relieving suture for wound repair following resection of benign skin tumors in pediatric patients

IF 2.7 3区 医学 Q1 SURGERY American journal of surgery Pub Date : 2025-05-01 Epub Date: 2025-02-19 DOI:10.1016/j.amjsurg.2025.116260
Keyao Li , Wei Zhu , Yuwei Wang , Juan Long , Litao Zhang , Yanling Jiang
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Abstract

Objective

To examine the clinical effectiveness of super tension-relieving sutures in surgical wound repair among pediatric patients after surgery.

Methods

The study included 100 patients with skin tumors who underwent surgical resection in the Hunan Children's Hospital outpatient department between January 2021 and December 2022. The experimental group (n ​= ​55) received super tension-relieving sutures, while the control group (n ​= ​45) received traditional tension-relieving sutures. The wound healing status, decompression duration, scar status, and effectiveness rates between the two groups were compared after 6 months of treatment.

Results

The experimental group exhibited higher wound eversion height, wound healing grade, the Vancouver Scar Scale scores, and wound satisfaction (p ​< ​0.05) compared to the control group, while no significant difference was observed in wound infection and subcutaneous hematoma between the two groups (p ​> ​0.05).

Conclusions

Using super tension-relieving sutures effectively reduces wound tension, minimizes scar formation, and improves postoperative aesthetics with patient satisfaction in pediatric dermatological surgery.
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儿科良性皮肤肿瘤切除术后超强张力缝合线用于伤口修复的临床观察
目的探讨超张力缝合线在小儿术后外科创面修复中的临床效果。方法研究纳入2021年1月至2022年12月在湖南省儿童医院门诊部接受手术切除的100例皮肤肿瘤患者。实验组(n = 55)采用超张力缓解缝线,对照组(n = 45)采用传统张力缓解缝线。比较两组治疗6个月后创面愈合情况、减压时间、瘢痕状态及有效率。结果实验组创面外翻高度、创面愈合等级、温哥华疤痕量表评分及创面满意度均高于对照组(p <;0.05),创面感染、皮下血肿两组比较差异无统计学意义(p >;0.05)。结论在小儿皮肤外科手术中,采用超张力缓解缝线可有效降低创面张力,减少瘢痕形成,提高术后美观性和患者满意度。
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来源期刊
CiteScore
5.00
自引率
6.70%
发文量
570
审稿时长
56 days
期刊介绍: The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.
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