Is Half a Century-Based Suturing Pattern Worth the Upgrade? Evaluating a Novel Suturing Technique: Knot Less is More

被引:0
|
作者
Maritano, Edoardo Giuseppe [1 ]
Kaciulyte, Juste [1 ,2 ,6 ]
Sordi, Silvia [2 ]
Marcasciano, Marco [3 ]
Lo Torto, Federico [1 ]
Luridiana, Gianluigi [4 ]
de Pazzi, Andrea Bartalini Cinughi [5 ]
Zerini, Irene [2 ]
Ribuffo, Diego [1 ]
Casella, Donato [2 ]
机构
[1] Sapienza Univ Rome, Dept Surg P Valdoni, Unit Plast & Reconstruct Surg, Policlin Umberto 1, Rome, Italy
[2] Univ Siena, Dept Med Surg & Neurosci, Oncol Breast Surg Unit, Siena, Italy
[3] Magna Graecia Univ Catanzaro, Dept Expt & Clin Med, Div Plast Surg, Catanzaro, Italy
[4] ARNAS Brotzu, Businco Oncol Hosp, Unit Oncol & Breast Surg, I-09047 Cagliari, Italy
[5] Univ Siena, Dept Med Surg & Neuro Sci, Unit Surg Oncol, Azienda Univ Senese, Siena, Italy
[6] Azienda Osped Univ Senese, Dept Breast Canc Surg, Viale Mario Bracci 11, I-53100 Siena, SI, Italy
关键词
Breast surgery; Breast reduction; Wise pattern; Suture; Knot extrusion;
D O I
10.1007/s00266-024-04501-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
The aesthetic outcomes of wise pattern-based breast reduction and mastopexy procedures are significantly influenced by the final scar quality, which is directly impacted by the suturing technique. Over the past century literature on suture placement has remained limited, with little advancement in tissue approximation methods. The success of conventional suturing depends on the surgeon's skills and expertise and the selection of suture material. Proper deep placement of absorbable sutures is essential to reduce risks; in fact, incorrect placement can lead to complications such as poor scar quality and negative psychological effects on the patient, and occasionally more severe issues like delayed wound healing. Our experience with a running suturing technique for wise pattern-based mammoplasty indicates that reducing the number of knots can lead to a better overall experience for both the patient and the surgeon. This technique may improve aesthetic results, decrease complications, and streamline the surgical process.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
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页码:1889 / 1892
页数:4
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