The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients
Abstract Objective To analyze the effect of a new type of tension-reduced suture named “double W tension-reduced suture technique” on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients. Methods 40 abdominal incisions following the da Vinci robot-assiste...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-01979-8 |
| _version_ | 1797827697043308544 |
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| author | Wanying Chen Tao Jiang Ziming Zhong Xiaodong Wang Yang Cao Yujing Wu Haiyang Gai Lianbo Zhang Yang Yu |
| author_facet | Wanying Chen Tao Jiang Ziming Zhong Xiaodong Wang Yang Cao Yujing Wu Haiyang Gai Lianbo Zhang Yang Yu |
| author_sort | Wanying Chen |
| collection | DOAJ |
| description | Abstract Objective To analyze the effect of a new type of tension-reduced suture named “double W tension-reduced suture technique” on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients. Methods 40 abdominal incisions following the da Vinci robot-assisted gastrectomy on severely obese patients from September 1st, 2021 to March 1st, 2022 were comprised in the study. 20 incisions were closed by the conventional full-thickness surgical suture as the control group, and 20 incisions were sewn up by double W tension-reduced suture as the double W group. The scars were assessed at the 1-month follow-up visit using the Vancouver scar scale (VSS), ultrasound and patient satisfaction. Meanwhile, digital photographs of scars were taken as well. Results The VSS score was 6.80 ± 2.16 in the control group, while that of the double W group was 2.60 ± 1.89. The difference between groups was significant. Digital photographs showed that the scar color was not only light and close to the skin color, but also flat and soft in the double W group. Ultrasound showed that the fibers of subcutaneous tissue in the double W group were arranged neatly, the ultrasonic signal intensity was relatively uniform, and the tunnel was small without obvious lacunae. More patients were satisfied and very satisfied with scars in the double W group. Conclusion Double W tension-reduced suture technique could significantly improve the appearance and reduce comorbidities of scars following the da Vinci robot-assisted gastrectomy for severely obese patients. |
| first_indexed | 2024-04-09T12:52:30Z |
| format | Article |
| id | doaj.art-3a7b61368e29487aa87a71811710c645 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-09T12:52:30Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-3a7b61368e29487aa87a71811710c6452023-05-14T11:07:01ZengBMCBMC Surgery1471-24822023-05-012311510.1186/s12893-023-01979-8The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patientsWanying Chen0Tao Jiang1Ziming Zhong2Xiaodong Wang3Yang Cao4Yujing Wu5Haiyang Gai6Lianbo Zhang7Yang Yu8Department of Plastic Surgery, China-Japan Union Hospital of Jilin UniversityHepatobiliary and pancreatic surgery, China-Japan Union Hospital of Jilin UniversityDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin UniversityDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin UniversityDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin UniversityDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin UniversityDepartment of Plastic Surgery, Jilin Academy of Traditional Chinese Medicine SciencesDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin UniversityHepatobiliary and pancreatic surgery, China-Japan Union Hospital of Jilin UniversityAbstract Objective To analyze the effect of a new type of tension-reduced suture named “double W tension-reduced suture technique” on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients. Methods 40 abdominal incisions following the da Vinci robot-assisted gastrectomy on severely obese patients from September 1st, 2021 to March 1st, 2022 were comprised in the study. 20 incisions were closed by the conventional full-thickness surgical suture as the control group, and 20 incisions were sewn up by double W tension-reduced suture as the double W group. The scars were assessed at the 1-month follow-up visit using the Vancouver scar scale (VSS), ultrasound and patient satisfaction. Meanwhile, digital photographs of scars were taken as well. Results The VSS score was 6.80 ± 2.16 in the control group, while that of the double W group was 2.60 ± 1.89. The difference between groups was significant. Digital photographs showed that the scar color was not only light and close to the skin color, but also flat and soft in the double W group. Ultrasound showed that the fibers of subcutaneous tissue in the double W group were arranged neatly, the ultrasonic signal intensity was relatively uniform, and the tunnel was small without obvious lacunae. More patients were satisfied and very satisfied with scars in the double W group. Conclusion Double W tension-reduced suture technique could significantly improve the appearance and reduce comorbidities of scars following the da Vinci robot-assisted gastrectomy for severely obese patients.https://doi.org/10.1186/s12893-023-01979-8Double W tension-reduced sutureScarda Vinci robot-assisted surgeryUltrasound |
| spellingShingle | Wanying Chen Tao Jiang Ziming Zhong Xiaodong Wang Yang Cao Yujing Wu Haiyang Gai Lianbo Zhang Yang Yu The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients BMC Surgery Double W tension-reduced suture Scar da Vinci robot-assisted surgery Ultrasound |
| title | The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients |
| title_full | The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients |
| title_fullStr | The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients |
| title_full_unstemmed | The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients |
| title_short | The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients |
| title_sort | effect of double w tension reduced suture technique on the abdominal scars following the da vinci robot assisted gastrectomy for severely obese patients |
| topic | Double W tension-reduced suture Scar da Vinci robot-assisted surgery Ultrasound |
| url | https://doi.org/10.1186/s12893-023-01979-8 |
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