ArticleAesthetic plastic surgery2025
Using a Modified Running Intracutaneous Butterfly Suture Technique for Wound Closure: Achieving Tension Reduction, Dead Space Elimination, and Perfect Apposition.
Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- From RCT to mechanistic study: ATRA reverses myofibroblast activation by reprogramming glucose metabolism via HIC1 and PCK1/2 to attenuate hypertrophic scar formation.Military Medical Research · 2026Trial
- Investigating the Efficacy of Layered Moderate Tension Reduction Suturing in Facial Aesthetic Surgery.Cureus · 2025Article
- Biomechanical mechanism and clinical management progress of surgical wound tension.Frontiers in surgery · 2025Review
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecently, patients have had increasingly higher requirements for the appearance of surgical scars. To achieve the ideal wound healing, a perfect suture technique needs to meet several requirements: tension reduction, precise apposition of wound edges, and dead space elimination. Here, we proposed a fast, efficient, and cost-effective suture method to meet clinical needs.
objectivesWe performed a retrospective study to investigate the efficacy of the modified running intracutaneous butterfly suture technique for scar revision surgery.
methodPatients with scars and pathological scars who underwent scar revision using the proposed suture technique at our Hospital between January 2020 and January 2024 were included in this study. The modified running intracutaneous butterfly suture technique with fast-absorbing bidirectional barbed sutures was used for wound closure. The Vancouver Scar Scale was used to evaluate the appearance of scars before and 8-24 months after the operations. The recurrence and complications of the patients were also recorded.
resultsA total of 59 patients were included. There were 3 (5.1%) recurrence and 6 (10.2%) hyperpigmentation following scar revision surgery combined with two sessions of radiotherapy. The overall Vancouver Scar Scale score significantly decreased from 10.19 ± 1.92 to 3.22 ± 1.45 within 8-24 months after the surgery. Patients were divided into the pathological scar group characterized with keloid and hypertrophic scar (n = 55) and the scar group (n = 4). The pathological scar group showed a decrease in Vancouver Scar Scale score from 10.51 ± 1.53 to 3.38 ± 1.36 (p < 0.0001).
conclusionsWe proposed a rapid and efficient suturing method that effectively reduced tension, eliminated dead space, and achieved optimal apposition of the wound edges, serving as a valuable reference for aesthetically pleasing wound suture. 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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