ArticleBMC surgery2024
Application and effect of tension-reducing suture in surgical treatment of hypertrophic scar.
Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 16 citations in OpenAlex.
- Chirality-Dependent Supramolecular Biomaterials Remodeling of Scar Microenvironment via Integrin-Mediated Regulation for Hypertrophic Scars Therapy.Nano-micro letters · 2026Article
- Endothelial system dysregulation underlies keloid development and therapeutic targeting.Frontiers in cell and developmental biology · 2026Review
- Photodynamic therapy with bioresorbable polymers: a novel approach to hypertrophic scar management.American journal of translational research · 2026Article
- Article
- Using super tension-relieving suture technique combined with W-plasty for facial scar repair: a retrospective comparative study.BMC surgery · 2025Article
- Innovative Reconstruction of Depressed Abdominal Scars Using Adipofascial Flaps and W-Plasty.The American journal of case reports · 2025Article
- The suture effect of butterfly suture combined with the looped, broad, and deep buried suture in patients with pigmented naevus receiving surgery excision.Archives of dermatological research · 2025Article
- Clinical efficacy, postoperative complication risks, and parental satisfaction in pediatric patients receiving tension-reducing suture treatment for facial lacerations.Frontiers in pediatrics · 2025Article
- Investigating the efficacy of the application of tension-reducing suture technique in maxillofacial plastic and cosmetic surgery.Frontiers in surgery · 2025Article
- Biomechanical mechanism and clinical management progress of surgical wound tension.Frontiers in surgery · 2025Review
- Application of Remote Buried Dermal Super-Tension-Reducing Sutures for Incisional Scar Prevention.Clinical, cosmetic and investigational dermatology · 2025Article
- The Role of Biomechanical Forces in the Formation and Treatment of Pathological Scars.Clinical, cosmetic and investigational dermatology · 2024Review
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate the application and effectiveness of tension-reducing suture in the repair of hypertrophic scars.
methodsA retrospective analysis of clinical data was conducted on 82 patients with hypertrophic scars treated at the Department of Burns and Plastic Surgery of Nanjing Drum Tower Hospital from September 2021 to December 2022. Patients were operated with combination of heart-shaped tension-reducing suturing technique and looped, broad, and deep buried (LBD) suturing technique or conventional suture method. Outcomes of surgical treatment were assessed before and 6 months after surgery using the Patient and Observer Scar Assessment Scale (POSAS) and the Vancouver Scar Scale (VSS).
resultsImprovements were achieved on scar quality compared to that preoperatively, with a reduction in scar width (1.7 ± 0.6 cm vs. 0.7 ± 0.2 cm, P < 0.001). Assessment using the POSAS and VSS scales showed significant improvements in each single parameter and total score compared to preoperative values (P < 0.05). The Combination method group achieved better score in total score of VSS scale, in color, stiffness, thickness and overall opinion of PSAS scale, and in vascularity, thickness, pliability and overall opinion of OSAS scale.
conclusionThe amalgamation of the heart-shaped tension-reducing suturing technique and the LBD suturing technique has shown promising outcomes, garnering notably high levels of patient satisfaction in the context of hypertrophic scar repair. Patients have exhibited favorable postoperative recoveries, underscoring the clinical merit and the prospective broader applicability of this approach in the realm of hypertrophic scar management.
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